Academy Square Dental Care

LBN: Academy Dental Llc
Academy Square Dental Care is an health care organization with primary practice located at 488 N 100 E St. , Provo UT 84606. The organization recently has only one registered license in Dental Providers / Advanced Practice Dental Therapist, which is considered as the primary health care specialty. Academy Dental Llc can be contacted via phone (801) 374-0867, or through Matthews, Corbin via phone (801) 473-6455.

Contact Information

Primary practice address
488 N 100 E St. Provo UT 84606
Phone: (801) 374-0867
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Corbin Doctor of Dental Medicine (DMD)
Phone: (801) 473-6455

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Advanced Practice Dental Therapist 125K00000X 372923 Utah
Dental Providers / Advanced Practice Dental Therapist 125K00000X 8372408-9922 Utah

Profile Details

NPI number 1184132623
LBN Legal business name Academy Dental Llc
DBA Doing business as Academy Square Dental Care
Authorized official Matthews, Corbin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2018
Last updated Jan 18th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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