Intermountain Dental Associates -Periodontics

LBN: Intermountain Dental Associates -Periodontics
Intermountain Dental Associates -Periodontics is an health care organization with primary practice located at 2721 N 400 E Suite 2, North Ogden UT 84414-2393. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Intermountain Dental Associates -Periodontics can be contacted via phone (801) 782-5682, or through Lewis, Vicki via phone (801) 782-5682.

Contact Information

Primary practice address
2721 N 400 E Suite 2 North Ogden UT 84414-2393
Fax: (801) 786-0520
Website:
Authorized official contact:
Name: Lewis, Vicki

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 144024-9922 Utah

Profile Details

NPI number 1093083990
LBN Legal business name Intermountain Dental Associates -Periodontics
DBA Doing business as
Authorized official Lewis, Vicki
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2011
Last updated Dec 6th, 2011 - about 13 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.

Request for update

Popular Providers