Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS
Active OrganizationINTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS is a Periodontology organization located in NORTH OGDEN, Utah. NPI 1093083990 is currently active in the NPPES registry. Verify at CMS.
Periodontology · NORTH OGDEN, UT
Registration Details
- NPI Number
- 1093083990
- Provider Type
- Organization
- NPI Issued
- Dec 6, 2011 (14.706995570101 yrs)
- Last Updated
- Dec 6, 2011
- License
-
144024-9922 (UT)
Practice Information
- Address
-
2721 N 400 ESUITE 2NORTH OGDEN, UT, 844142393Browse UT providers · Browse ZIP 84414
- Phone
- 8017825682
- Fax
- 8017860520
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.