EAST MOUNTAIN DENTAL LLC NPI 1457671299

NPI Information

EAST MOUNTAIN DENTAL LLC is a general practice dentist in Provo, 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. EAST MOUNTAIN DENTAL LLC NPI is 1457671299. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2335 S STATE ST
SUITE 200
PROVO, UT
ZIP 84606-576
Phone: (801) 377-0037
Fax: (801) 377-3141

The provider's authorized official is Ryan G Hamilton .
The authorized official title is General Dentist and has the following contact phone number (801) 377-0037.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/3/2010.

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:

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