Academy Dental LLC
Academy Dental LLC is an Advanced Practice Dental Therapist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2018.
- Licensed in
- UT
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
488 N 100 E StProvo, UT 84606
Phone: (801) 374-0867
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Advanced Practice Dental Therapist (primary) | Taxonomy 125K00000X · Licence 372923 (UT) |
|---|---|
| Advanced Practice Dental Therapist | Taxonomy 125K00000X · Licence 8372408-9922 (UT) |
Record details
| NPI number | 1184132623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Academy Dental LLC |
| Authorized official | Corbin Matthews — Owner · (801) 473-6455 |
| Other names | Academy Square Dental Care |
| NPI enumerated | January 18, 2018 |
| Last updated in NPPES | January 18, 2018 |
| Mailing address | 488 N 100 E St., Provo, UT 84606 |