Academy Dental LLC

Organization Active
NPI 1184132623
Advanced Practice Dental Therapist Provo, UT

Academy Dental LLC holds NPI 1184132623, with a primary taxonomy of advanced practice dental therapist and a practice location in Provo, UT. The number was issued on January 18, 2018 and the NPPES record was last updated on January 18, 2018. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Advanced Practice Dental Therapist Primary 125K00000X 372923 (UT)
Advanced Practice Dental Therapist 125K00000X 8372408-9922 (UT)

Practice location

488 N 100 E St.
Provo, UT 84606
Phone: (801) 374-0867

Local context

Active NPPES records list 2 providers with advanced practice dental therapist as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 2 in Utah and 106 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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