Individual provider · Type 1 NPI

Ryan K. Edmunds, DDS

Periodontics · Provo, UT

NPI number 1467636688 Active

Practice location

745 N 500 W Ste 102
Provo, UT 84601-1473

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X7670872-9923 (UT)

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.

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About NPI 1467636688

Ryan K. Edmunds, DDS's National Provider Identifier is 1467636688, issued on Dec 24, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Provo, UT. The record was last updated on Jun 10, 2010.