Organization · Type 2 NPI
Provo Pediatric Dental
Pediatric Dentistry · Provo, UT
NPI number
1184320293
Active
Practice location
745 N 500 W
Provo, UT 84601-1472
Fax (801) 373-0816
Mailing address
391 N 400 E
Price, UT 84501-2537
Other practice locations
- 391 N 400 E, Price, UT 84501-2537 · (435) 637-9590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
About NPI 1184320293
Provo Pediatric Dental's National Provider Identifier is 1184320293, issued on Feb 1, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Provo, UT. The record was last updated on Feb 1, 2023.