INTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS is a periodontics dentist in North Ogden, UT. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. INTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS NPI is 1093083990. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2721 N 400 E
SUITE 2
NORTH OGDEN, UT
ZIP 84414-393
Phone: (801) 782-5682
Fax: (801) 786-0520
The provider's authorized official is Vicki Lewis .
The authorized official title is Specialist Coordinator and has the following contact phone number (801) 782-5682.
The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.