Individual provider · Type 1 NPI
Robert Wade Ferrell, DMD, MS
Periodontics · Provo, UT
NPI number
1548330004
Active
Practice location
619 N 500 W
Provo, UT 84601-1547
Mailing address
1508 E Skyline Dr, Suite #300
Ogden, UT 84405-4846
Other practice locations
- 280 Vista Knoll Pkwy Ste 114, Reno, NV 89506-5649 · (775) 971-9282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 350703 (UT) |
| Periodontics | 1223P0300X | S4-138C (NV) |
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 1548330004
Robert Wade Ferrell, DMD, MS's National Provider Identifier is 1548330004, issued on Nov 9, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Provo, UT. The record was last updated on Nov 14, 2025.