DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PDC PROVO LLC

Active Organization

PDC PROVO LLC is a Dentist organization located in PROVO, Utah. NPI 1396893012 is currently active in the NPPES registry. Verify at CMS.

Dentist · PROVO, UT

Registration Details

NPI Number
1396893012
Provider Type
Organization
NPI Issued
Jan 8, 2007 (19.606396189039 yrs)
Last Updated
Jan 4, 2013
Licenses
3192 (UT)
6026130 (UT)

Practice Information

Address
2520 N UNIV AVE
SUITE 101
PROVO, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8014266255
Fax
8012242966
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Organizations in PROVO, UT

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.