Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wisdom Teeth Only

Organization Dentist · NPI 1528518909

Wisdom Teeth Only provides Dentist services in Provo, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
Specialties on file
4

Practice location Address checks out

2230 N University Pkwy Ste 8A
Provo, UT 84604-6702 Not confirmed with CMS for 10 years — call before visiting
Phone: (801) 370-0050
Fax: (801) 370-9635
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5136597 (UT)
Dentist Taxonomy 122300000X · Licence 134055 (UT)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence 187982 (UT)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence 5594772 (UT)

Record details

NPI number1528518909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Garcia — Office Manager · (801) 370-0050
Other names Dr. Wisdom Teeth
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016
Mailing address2230 N University Pkwy Ste 8a, Provo, UT 84604-6702

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