Blue Mountain Family Dental

LBN: Blue Mountain Family Dental
Blue Mountain Family Dental is an health care organization with primary practice located at 1675 N 200 W #8A , Provo UT 84604. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Blue Mountain Family Dental can be contacted via phone (801) 356-7329, or through Hilmo, Justin Todd via phone (801) 356-7329.

Contact Information

Primary practice address
1675 N 200 W #8A Provo UT 84604
Phone: (801) 356-7329
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hilmo, Justin Todd Doctor of Dental Surgery (DDS)
Phone: (801) 356-7329

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7369645 Utah

Profile Details

NPI number 1003206350
LBN Legal business name Blue Mountain Family Dental
DBA Doing business as
Authorized official Hilmo, Justin Todd Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2015
Last updated Jan 26th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003206350 NPPES
Utah MEDICAID 050828

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