Advanced Dental Specialty Group

LBN: Brian Scott, Llc
Advanced Dental Specialty Group is an health care organization with primary practice located at 1838 N 1075 W # 100 , Farmington UT 84025-2980. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Periodontics is the primary health care specialty. Brian Scott, Llc can be contacted via phone (801) 923-1011, or through Bird, Shannon via phone (801) 923-1011.

Contact Information

Primary practice address
1838 N 1075 W # 100 Farmington UT 84025-2980
Phone: (801) 923-1011
Fax: (801) 923-1022
Website:
Map and Directions
Authorized official contact:
Name: Bird, Shannon
Phone: (801) 923-1011

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1730768557
LBN Legal business name Brian Scott, Llc
DBA Doing business as Advanced Dental Specialty Group
Authorized official Bird, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2021
Last updated Apr 28th, 2021 - about 3 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 1730768557 NPPES
Other 272251 LICENSE

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