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WEST VALLEY DENTAL GROUP INC NPI 1407961055


NPI Information

NPI: 1407961055
Provider Name: WEST VALLEY DENTAL GROUP INC

Doing Business As: MTN VIEW DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6783 REDWOOD RD
SUITE 201
WEST JORDAN, UT
ZIP 84084
Phone: (801) 969-8200
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WEST VALLEY DENTAL GROUP INC is a general practice dentist in West Jordan, 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. WEST VALLEY DENTAL GROUP INC NPI is 1407961055. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mtn View Dental Care.

The provider's business location address is:

6783 REDWOOD RD
SUITE 201
WEST JORDAN, UT
ZIP 84084-404
Phone: (801) 969-8200
Fax: (801) 261-8280

The provider's authorized official is Robert O Boyer .
The authorized official title is President and has the following contact phone number (801) 969-8200.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/29/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice135611UTAHNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics130519UTAHNo
31223G0001XDentistGeneral Practice142863UTAHNo
41223G0001XDentistGeneral Practice130519UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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