Individual provider · Type 1 NPI

Conner Belnap

Orthodontics and Dentofacial Orthopedics Dentistry · Logan, UT

NPI number 1356933840 Active

Practice location

965 South 100 West Ste 100, 965 South 100 West Ste 100
Logan, UT 84321

Mailing address

965 S 100 W Ste 100
Logan, UT 84321-6063

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XLL-550-21 (NV)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X13633560-9926 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1356933840

Conner Belnap's National Provider Identifier is 1356933840, issued on Feb 6, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Logan, UT. The record was last updated on Jun 13, 2025.