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

Wisdom Teeth Only

Organization Dentist · NPI 1528518909

Wisdom Teeth Only is a Dentist 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
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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