CANYON DENTAL GROUP LLC NPI 1669887204

NPI Information

CANYON DENTAL GROUP LLC is a general practice dentist in Ogden, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CANYON DENTAL GROUP LLC NPI is 1669887204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

512 12TH ST
OGDEN, UT
ZIP 84404-803
Phone: (801) 399-5831
Fax: (801) 409-0134

The provider's authorized official is Bart Wilson Wolthuis .
The authorized official title is Dr. and has the following contact phone number (801) 399-5831.

The enumeration date for this NPI number is 6/23/2014 and was last updated on 6/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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