Organization · Type 2 NPI

Health Center of Utah

Advanced Practice Dental Therapist · Saratoga Springs, UT

NPI number 1558879080 Active

Practice location

1305 N Commerce Dr #200
Saratoga Springs, UT 84045

Fax (801) 768-0327

Specialties and licenses

Taxonomy	Code	License
Advanced Practice Dental Therapist Primary	125K00000X	372923 (UT)
Advanced Practice Dental Therapist	125K00000X	514295-9922 (UT)

Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…

NPI record

NPI: 1558879080
Entity type: Organization (Type 2)
Issued: Jan 18, 2018
Last updated: Jan 18, 2018
Status: Active
Subpart: Yes of Health Center of Utah

Other names

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Sleep and Wellness Center of Utah · doing business as

Authorized official

Dr. Corbin Matthews, DMD
Owner
(801) 473-6455

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1558879080

Health Center of Utah's National Provider Identifier is 1558879080, issued on Jan 18, 2018. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Saratoga Springs, UT. The record was last updated on Jan 18, 2018.