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

WISDOM TEETH ONLY

Active Organization

WISDOM TEETH ONLY is a Dentist organization located in PROVO, Utah. NPI 1528518909 is currently active in the NPPES registry. Verify at CMS.

Dentist · PROVO, UT

Registration Details

NPI Number
1528518909
Provider Type
Organization
NPI Issued
Oct 10, 2016 (9.852897002628 yrs)
Last Updated
Oct 10, 2016
Licenses
134055 (UT)
187982 (UT)
5594772 (UT)
5136597 (UT)

Practice Information

Address
2230 N UNIVERSITY PKWY STE 8A
PROVO, UT, 846046702
Browse UT providers · Browse ZIP 84604
Phone
8013700050
Fax
8013709635
Primary Specialty
Dentist
122300000X
Additional Specialty
Clinical Nurse Specialist
Additional Specialty
Clinical Nurse Specialist
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.