| Intermountain Dental Associates- Ortho- Cache Valley | |
|
2721 N 400 E Suite 2 North Ogden UT 84414-2393 | |
| (801) 782-5682 | |
| (801) 786-0520 |
| Full Name | Intermountain Dental Associates- Ortho- Cache Valley |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2721 N 400 E, North Ogden, Utah |
| Authorized Official Name and Position | Vicki Lewis (SPECIALIST COORDINATOR) |
| Authorized Official Contact | 8017825682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Dental Associates- Ortho- Cache Valley 2721 N 400 E Suite 2 North Ogden UT 84414-2393 Ph: (801) 782-5682 | Intermountain Dental Associates- Ortho- Cache Valley 2721 N 400 E Suite 2 North Ogden UT 84414-2393 Ph: (801) 782-5682 |
| NPI Number | 1679842793 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679842793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 144024-9922 (Utah) | Primary |
Intermountain Dental Associates -periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 N 400 E, Suite 2, North Ogden, UT 84414 Phone: 801-782-5682 Fax: 801-786-0520 | |
Ben Lomond Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N 400 E, North Ogden, UT 84414 Phone: 801-782-0866 Fax: 801-782-1344 | |
Wayment Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 N 400 E, Ste 202, North Ogden, UT 84414 Phone: 801-782-8300 Fax: 801-782-8000 | |
Intermountain Dental Associates - Surgical Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 N 400 E, Suite 2, North Ogden, UT 84414 Phone: 801-782-5682 Fax: 801-786-0520 | |
Intermountain Dental Associates -ortho-mtn View Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 N 400 E, Suite 2, North Ogden, UT 84414 Phone: 801-782-5682 Fax: 801-786-0520 | |
Half Dental Ogden Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 N Washington Blvd, Ste 202, North Ogden, UT 84414 Phone: 801-852-5252 Fax: 801-855-7152 |