INTERMOUNTAIN DENTAL ASSOCIATES - SURGICAL ASSOCIATES is an oral and maxillofacial surgery dentist in North Ogden, UT. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. INTERMOUNTAIN DENTAL ASSOCIATES - SURGICAL ASSOCIATES NPI is 1598033409. 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 CLIA number assigned to this NPI record is 46D0707935 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.