BOUNTIFUL DENTISTRY NPI 1053743922

NPI Information

BOUNTIFUL DENTISTRY is a general practice dentist in Bountiful, 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. BOUNTIFUL DENTISTRY NPI is 1053743922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

625 E 500 S
SUITE 201
BOUNTIFUL, UT
ZIP 84010-882
Phone: (801) 292-0443

The provider's authorized official is Mark Nelson .
The authorized official title is Part Owner and has the following contact phone number (801) 295-8322.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 8/2/2013.

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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