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

Provo Pdc PLLC

Organization General Practice Dentistry · NPI 1467135822

Provo Pdc PLLC is a General Practice Dentistry in Provo, Utah. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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 84604-1503
Phone: (801) 426-6255
Fax: (801) 734-3714
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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
Periodontics Taxonomy 1223P0300X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthotist Taxonomy 222Z00000X

Record details

NPI number1467135822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Chavez — Owner · (801) 691-1701
Other names Platinum Dental Care
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing addressPo Box 970176, Orem, UT 84097-0119

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