Provo Pdc Pllc

LBN: Provo Pdc Pllc
Provo Pdc Pllc is an health care organization with primary practice located at 2255 N University Pkwy Ste 39 , Provo UT 84604-1503. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Dental Providers / General Practice is the primary health care specialty. Provo Pdc Pllc can be contacted via phone (801) 426-6255, or through Chavez, Juan via phone (801) 691-1701.

Contact Information

Primary practice address
2255 N University Pkwy Ste 39 Provo UT 84604-1503
Phone: (801) 426-6255
Fax: (801) 734-3714
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Juan Doctor of Dental Medicine (DMD)
Phone: (801) 691-1701

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1467135822
LBN Legal business name Provo Pdc Pllc
DBA Doing business as
Authorized official Chavez, Juan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 2023 - about last year

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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