Advanced Dental Care

LBN: Provo Premier Dental Group Pllc
Advanced Dental Care is an health care organization with primary practice located at 777 N 500 W Ste 204 , Provo UT 84601-1597. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Provo Premier Dental Group Pllc can be contacted via phone (801) 374-2182, or through Smith, David via phone (801) 375-1414.

Contact Information

Primary practice address
777 N 500 W Ste 204 Provo UT 84601-1597
Phone: (801) 374-2182
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, David Doctor of Dental Surgery (DDS)
Phone: (801) 375-1414

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1396490314
LBN Legal business name Provo Premier Dental Group Pllc
DBA Doing business as Advanced Dental Care
Authorized official Smith, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2022
Last updated Apr 23rd, 2024 - 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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