JOHN GREEN DENTISTRY PC NPI 1417240888

NPI Information

NPI: 1417240888
Provider Name: JOHN GREEN DENTISTRY PC

Doing Business As: MOUNTAIN RIDGE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1256 S STATE ST
SUITE 103
OREM, UT
ZIP 84097
Phone: (801) 224-7182
Get Directions

JOHN GREEN DENTISTRY PC is a dental clinic center in Orem, UT. JOHN GREEN DENTISTRY PC NPI is 1417240888. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Ridge Dental.

The provider's business location address is:

1256 S STATE ST
SUITE 103
OREM, UT
ZIP 84097-237
Phone: (801) 224-7182
Fax: (801) 235-0835

The provider's authorized official is John Green .
The authorized official title is Owner, Doctor and has the following contact phone number (801) 224-7182.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 5/18/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	7692415-9922	UTAH	Yes

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

NPI Synchronization or Removal

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