Organization · Type 2 NPI
Wasatch Advanced Dental Care LLC
Periodontics · Ogden, UT
NPI number
1023670569
Active
Practice location
3590 Harrison Blvd Suite #1
Ogden, UT 84403
Fax (801) 340-9561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1023670569
Wasatch Advanced Dental Care LLC's National Provider Identifier is 1023670569, issued on Jul 5, 2019. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Ogden, UT. The record was last updated on Jul 5, 2019.