Dr. Wisdom Teeth

LBN: Wisdom Teeth Only
Dr. Wisdom Teeth is an health care organization with primary practice located at 2230 N University Pkwy Ste 8A , Provo UT 84604-6702. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Dental Providers / Dentist is the primary health care specialty. Wisdom Teeth Only can be contacted via phone (801) 370-0050, or through Garcia, Elizabeth via phone (801) 370-0050.

Contact Information

Primary practice address
2230 N University Pkwy Ste 8A Provo UT 84604-6702
Phone: (801) 370-0050
Fax: (801) 370-9635
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Elizabeth
Phone: (801) 370-0050

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5136597 Utah
Dental Providers / Dentist 122300000X 134055 Utah
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 187982 Utah
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 5594772 Utah

Profile Details

NPI number 1528518909
LBN Legal business name Wisdom Teeth Only
DBA Doing business as Dr. Wisdom Teeth
Authorized official Garcia, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - about 9 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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