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

Provo Pediatric Dental

Organization Pediatric Dentistry · NPI 1184320293

Provo Pediatric Dental is a Pediatric Dentistry in Provo, Utah. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

745 N 500 W
Provo, UT 84601-1472
Phone: (801) 373-4200
Fax: (801) 373-0816
Show map & directions

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

Additional practice locations (1)

  • 391 N 400 E, Price, UT 84501-2537 — (435) 637-9590

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1184320293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara McCourt — Office Manager · (435) 637-9590
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing address391 N 400 E, Price, UT 84501-2537

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