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

PROVIDENCE DERMATOLOGY LLC

Active Organization

PROVIDENCE DERMATOLOGY LLC is a Dermatology organization located in PROVIDENCE, Utah. NPI 1568029957 is currently active in the NPPES registry. Verify at CMS.

Dermatology · PROVIDENCE, UT

Registration Details

NPI Number
1568029957
Provider Type
Organization
NPI Issued
May 22, 2019 (7.2556108014353 yrs)
Last Updated
Jun 16, 2025

Practice Information

Address
169 N GATEWAY DR STE 100
PROVIDENCE, UT, 843329860
Browse UT providers · Browse ZIP 84332
Phone
5419994475
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Organizations in PROVIDENCE, UT

Name NPI
LP DERM LLC 1538875786
AT HOME DERMATOLOGY PLLC 1821864844
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.