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INTERMOUNTAIN DENTAL ASSOCIATES-ENDODONTICS NPI 1881962785


NPI Information

NPI: 1881962785
Provider Name: INTERMOUNTAIN DENTAL ASSOCIATES-ENDODONTICS
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
2721 N 400 E
SUITE 2
NORTH OGDEN, UT
ZIP 84414
Phone: (801) 782-5682
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INTERMOUNTAIN DENTAL ASSOCIATES-ENDODONTICS is an endodontics dentist in North Ogden, UT. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. INTERMOUNTAIN DENTAL ASSOCIATES-ENDODONTICS NPI is 1881962785. 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 Coordintor and has the following contact phone number (801) 782-5682.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.


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
11223E0200XDentistEndodontics144024UTAHYes

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: 11/14/2023

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