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

Provo Orem Family & Cosmetic Dentistry PLLC

Organization General Practice Dentistry · NPI 1538554878

Provo Orem Family & Cosmetic Dentistry PLLC is a General Practice Dentistry in Provo, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2255 N University Pkwy Ste 39
Provo, UT 84604-1588
Phone: (706) 207-1102
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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 · Licence 87673189923 (UT)

Record details

NPI number1538554878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Campbell — President · (706) 207-1102
NPI enumeratedApril 3, 2015
Last updated in NPPESApril 3, 2015
Mailing address2255 N University Pkwy, Suite 39, Provo, UT 84604-1588

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