Organization · Type 2 NPI

Wisdom Teeth Only

Dentist · Provo, UT

NPI number 1528518909 Active

Practice location

2230 N University Pkwy Ste 8A
Provo, UT 84604-6702

Fax (801) 370-9635

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X5136597 (UT)
Dentist 122300000X134055 (UT)
Clinical Nurse Specialist 364S00000X187982 (UT)
Clinical Nurse Specialist 364S00000X5594772 (UT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1528518909

Wisdom Teeth Only's National Provider Identifier is 1528518909, issued on Oct 10, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Provo, UT. The record was last updated on Oct 10, 2016.