Pdc Provo Llc is a Dental Clinic in Provo, Utah. This organization is also known as sub part of Platinum Dental Group Llc. It is located at 2520 N Univ Ave, Suite 101, Provo, UT and its contact number is 801-426-6255. The authorized person for Pdc Provo Llc is Amber Johnson
who is Office Manager of the clinic and their contact number is 801-426-6255. The primary license number for Pdc Provo Llc is 6026130 (Dentist) in Utah. Pdc Provo Llc 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:
Pdc Provo Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pdc Provo Llc
Specialization:
Dentistry
Clinic Address:
2520 N Univ Ave, Suite 101, Provo, Utah, 84604
Phone:
801-426-6255
Fax:
801-224-2966
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:
Amber Johnson
Position:
Office Manager
Contact Number:
801-426-6255
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 Pdc Provo Llc clinic are as mentioned below.
NPI Number:
1396893012
Parent Organization:
Platinum Dental Group Llc
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
04 Jan, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pdc Provo Llc are as mentioned below.
Specialization
License Number
State
Status
Dentist
6026130
Utah
Primary
General Practice
3192
Utah
Secondary
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
529113131001
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:
Pdc Provo Llc 2520 N Univ Ave, Suite 101 Provo, Utah
Zip:
84604
Phone Number:
801-426-6255
Fax Number:
801-224-2966
Patients can reach Pdc Provo Llc at 2520 N Univ Ave, Suite 101, Provo, Utah or can call to book an appointment on 801-426-6255. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.