Individual provider · Type 1 NPI

Russell Garrett Cortez Ii

Orthodontics and Dentofacial Orthopedics Dentistry · Bountiful, UT

NPI number 1487535639 Active

Practice location

59 W Pages Ln # 100
Bountiful, UT 84010-5988

Mailing address

298 Edgemont Dr
North Salt Lake, UT 84054-2636

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X14235846-9926 (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…

Another provider at this address

Other orthodontics and dentofacial orthopedics dentistry providers in Bountiful

See all in Bountiful →

About NPI 1487535639

Russell Garrett Cortez Ii's National Provider Identifier is 1487535639, issued on Sep 11, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bountiful, UT. The record was last updated on Sep 11, 2025.