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

Organization Periodontics · NPI 1093083990

Intermountain Dental Associates -Periodontics is a Periodontics in North Ogden, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
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Practice location Address checks out

2721 N 400 E Ste 2
North Ogden, UT 84414-2393
Phone: (801) 782-5682
Fax: (801) 786-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 144024-9922 (UT)

Record details

NPI number1093083990
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Dental Associates Specialty
Authorized official Vicki Lewis — Specialist Coordinator · (801) 782-5682
NPI enumeratedDecember 6, 2011
Last updated in NPPESDecember 6, 2011
Mailing address2721 N 400 E, Suite 2, North Ogden, UT 84414-2393