Organization · Type 2 NPI

104 West Dental LLC

General Practice Dentistry · Brigham City, UT

NPI number 1255294765 Active

Practice location

104 W 200 S
Brigham City, UT 84302-2506

Fax (435) 734-0117

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

2 other providers at this address

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About NPI 1255294765

104 West Dental LLC's National Provider Identifier is 1255294765, issued on Dec 3, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brigham City, UT. The record was last updated on Dec 3, 2025.