ACADEMY DENTAL LLC is an advanced practice dental therapist in Provo, UT. The provider is an Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.
The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. ACADEMY DENTAL LLC NPI is 1184132623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Academy Square Dental Care.
The provider's business location address is:
488 N 100 E ST.
PROVO, UT
ZIP 84606
Phone: (801) 374-0867
The provider's authorized official is Corbin Matthews .
The authorized official title is Owner and has the following contact phone number (801) 473-6455.
The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.