MOUNTAIN VISTA DENTAL CARE NPI 1710292339

NPI Information

MOUNTAIN VISTA DENTAL CARE is a general practice dentist in Harrisville, 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. MOUNTAIN VISTA DENTAL CARE NPI is 1710292339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

539 N HARRISVILLE RD
SUITE F
HARRISVILLE, UT
ZIP 84404-560
Phone: (801) 786-0700
Fax: (801) 340-5025

The provider's authorized official is Daniel Ryan Mcconkie .
The authorized official title is Manager and has the following contact phone number (801) 786-0700.

The CLIA number assigned to this NPI record is 46D2185988 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 8/9/2010.

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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