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

Provo Family Dentistry, LLC

Organization Dental Clinic/Center · NPI 1063923258

Provo Family Dentistry, LLC is a Dental Clinic/Center in Provo, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
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

1355 N University Ave Ste 310
Provo, UT 84604-2721
Phone: (801) 373-2693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 275985-9922 (UT)

Record details

NPI number1063923258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Hardman — Office Manager · (801) 373-2693
Other names The Dental Edge
NPI enumeratedOctober 16, 2017
Last updated in NPPESOctober 16, 2017
Mailing address1355 N University Ave Ste 310, Provo, UT 84604-2721

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