Ninth East Dental
Ninth East Dental is a General Practice Dentistry in Provo, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1234 N 900 E Ste 100Provo, UT 84604-2726
Phone: (801) 854-9140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1902470198 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Faith Gaskins — Director Of Credentialing · (972) 869-3789 |
| NPI enumerated | May 13, 2021 |
| Last updated in NPPES | September 29, 2022 |
| Certification date | September 29, 2022 |
| Mailing address | 1234 N 900 E Ste 100, Provo, UT 84604-2726 |
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Nicholas Dee Petersen, DDS
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