Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Dermatology of Bountiful LLC

Organization Dermatology Physician · NPI 1629396841

Integrated Dermatology of Bountiful LLC is a Dermatology Physician in Centerville, Utah. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1222 W Legacy Crossing Blvd Ste 200
Centerville, UT 84014-5560
Phone: (801) 298-3802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1629396841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Plotkin — Owner · (561) 314-2000
NPI enumeratedMay 12, 2010
Last updated in NPPESJanuary 15, 2019
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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