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INTERMOUNTAIN DENTAL SPECIALISTS NPI 1881069177


NPI Information

NPI: 1881069177
Provider Name: INTERMOUNTAIN DENTAL SPECIALISTS
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2797 N HIGHWAY 89
SUITE 200
PLEASANT VIEW, UT
ZIP 84404
Phone: (801) 782-5682
Get Directions

INTERMOUNTAIN DENTAL SPECIALISTS is an orthodontics and dentofacial orthopedics dentist in Pleasant View, UT. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. INTERMOUNTAIN DENTAL SPECIALISTS NPI is 1881069177. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2797 N HIGHWAY 89
SUITE 200
PLEASANT VIEW, UT
ZIP 84404-216
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 enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics145326-9922UTAHNo
21223E0200XDentistEndodontics145288-9922UTAHNo
31223P0300XDentistPeriodontics137712-9922UTAHNo
41223S0112XDentistOral and Maxillofacial Surgery8598613-9924UTAHNo
51223X0400XDentistOrthodontics and Dentofacial Orthopedics9371431-9921UTAHNo
61223X0400XDentistOrthodontics and Dentofacial Orthopedics8041458UTAHYes

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

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