Custom Orthodontics

LBN: Custom Orthodontics
Custom Orthodontics is an health care organization with primary practice located at 255 N 3000 W Ste B , West Point UT 84015-7493. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Custom Orthodontics can be contacted via phone (801) 825-2208, or through Thomson, Brady M via phone (435) 752-1320.

Contact Information

Primary practice address
255 N 3000 W Ste B West Point UT 84015-7493
Phone: (801) 825-2208
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomson, Brady M Doctor of Dental Surgery (DDS)
Phone: (435) 752-1320

Health care specialties

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

Profile Details

NPI number 1326580283
LBN Legal business name Custom Orthodontics
DBA Doing business as
Authorized official Thomson, Brady M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2016
Last updated Nov 9th, 2016 - about 8 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 1326580283 NPPES
Utah MEDICAID 1801085063
Utah MEDICAID 1912998725

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