Providence Pdc Pllc is a Dental Clinic in Providence, Utah. It is located at 169 N Gateway Dr, Suite #105, Providence, UT and its contact number is 435-610-2474. The authorized person for Providence Pdc Pllc is Jacob Warner
who is Credentialing Manager of the clinic and their contact number is 801-691-1701.
Providence Pdc Pllc 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:
Providence Pdc Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Providence Pdc Pllc |
| Specialization: | Dentistry |
| Clinic Address: | 169 N Gateway Dr, Suite #105, Providence,
Utah, 84332-9861 |
| Phone: | 435-610-2474 |
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: | Jacob Warner |
| Position: | Credentialing Manager |
| Contact Number: | 801-691-1701 |
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 Providence Pdc Pllc clinic are as mentioned below.
| NPI Number: | 1598390494 |
| NPI Enumeration Date: | 11 Mar, 2020 |
| NPI Last Update On: | 11 Mar, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Pdc Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Pdc Pllc
Po Box 970238,
Orem, Utah |
| Zip: | 84097-0309 |
| Phone Number: | 801-691-1701 |
Patients can reach Providence Pdc Pllc at
169 N Gateway Dr, Suite #105, Providence, Utah or can
call to book an appointment on 435-610-2474.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.