Intermountain Dental Associates - Surgical Associates
Intermountain Dental Associates - Surgical Associates is an Oral and Maxillofacial Surgery (Dentist) in North Ogden, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
Practice location Address checks out
2721 N 400 E Ste 2North 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
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 144024-9922 (UT) |
|---|
Record details
| NPI number | 1598033409 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Intermountain Dental Associates Specialty LLC |
| Authorized official | Vicki Lewis — Specialist Coordinator · (801) 782-5682 |
| NPI enumerated | December 6, 2011 |
| Last updated in NPPES | December 6, 2011 |
| Mailing address | 2721 N 400 E, Suite 2, North Ogden, UT 84414-2393 |