SOUTH PROVO PDC PLLC is a dental clinic center in Provo, UT. SOUTH PROVO PDC PLLC NPI is 1538946207. The provider is registered as an organization entity type.
The provider's business location address is:
2211 E VALLEY VISTA WAY PROVO, UT ZIP 84606-636 Phone: (385) 412-6964 Fax: (385) 248-5034
The provider's authorized official is Vivian Betancourt . The authorized official title is Credentialing Specialist and has the following contact phone number (801) 305-3465.
The enumeration date for this NPI number is 9/14/2023 and was last updated on 11/8/2023.
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:
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: 3/30/2025
NPI Synchronization or Removal
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