is a Dental Clinic in Provo, Utah. It is located at 2230 N University Pkwy, 8a, Provo, UT and its contact number is 801-370-0050. The authorized person for is Dr. Heath Hendrickson
who is Owner of the clinic and their contact number is 801-370-0050. The primary license number for is 51365979922 (Dentist) in Utah. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
2230 N University Pkwy, 8a, Provo, Utah, 84604-1509
Phone:
801-370-0050
Fax:
801-370-9635
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Heath Hendrickson
Position:
Owner
Contact Number:
801-370-0050
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1912212895
NPI Enumeration Date:
16 Aug, 2010
NPI Last Update On:
16 Aug, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Dentist
51365979922
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
HT000004-001
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2230 N University Pkwy, 8a Provo, Utah
Zip:
84604-1509
Phone Number:
801-370-0050
Fax Number:
801-370-9635
Patients can reach at 2230 N University Pkwy, 8a, Provo, Utah or can call to book an appointment on 801-370-0050. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.