Whalio Doctors

NPI 1881069177

Intermountain Dental Specialists

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Pleasant View, UT

Practice location

Address
2797 N Highway 89 Suite 200, Pleasant View, UT 84404-1216
Phone
(801) 782-5682
Fax
(801) 786-0520

Authorised official

Name
Vicki Lewis
Title
Specialist Coordinator
Phone
(801) 782-5682

Registered specialties (6)

Orthodontics and Dentofacial Orthopedics Dentistry Primary
Dental Providers Taxonomy 1223X0400X Licence 8041458 (UT)
Endodontics
Dental Providers Taxonomy 1223E0200X Licence 145326-9922 (UT)
Endodontics
Dental Providers Taxonomy 1223E0200X Licence 145288-9922 (UT)
Periodontics
Dental Providers Taxonomy 1223P0300X Licence 137712-9922 (UT)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 8598613-9924 (UT)
Orthodontics and Dentofacial Orthopedics Dentistry
Dental Providers Taxonomy 1223X0400X Licence 9371431-9921 (UT)

Registry record

NPI
1881069177
Entity type
Organization
NPI issued
11 Dec 2015
Record last updated
11 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.