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

Mountainlands Community Health Center, Inc

Organization Dentist · NPI 1699374496

Mountainlands Community Health Center, Inc is a Dentist in Provo, Utah. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

299 E 900 S Ste 101
Provo, UT 84606-6107
Phone: (801) 429-2000
Fax: (801) 429-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dentist Taxonomy 122300000X

Record details

NPI number1699374496
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMountainlands Community Health Center, Inc
Authorized official Eric Johnson — Financial Director · (801) 855-0091
Other names Mountainlands Community Health Center - East Bay Dental; Mountainlands Community Health Center - East Bay Dental
NPI enumeratedOctober 22, 2020
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address589 S State St, Provo, UT 84606-5056

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