Provo Pdc Pllc is a Periodontology Clinic in Provo, Utah. It is located at 2255 N University Pkwy Ste 39, Provo, UT and its contact number is 801-426-6255. The authorized person for Provo Pdc Pllc is Juan Chavez
who is Owner of the clinic and their contact number is 801-691-1701.
Provo Pdc Pllc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Provo 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: | Provo Pdc Pllc |
| Specialization: | Periodontology |
| Clinic Address: | 2255 N University Pkwy Ste 39, Provo,
Utah, 84604-1503 |
| Phone: | 801-426-6255 |
| Fax: | 801-734-3714 |
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: | Juan Chavez |
| Position: | Owner |
| 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 Provo Pdc Pllc clinic are as mentioned below.
| NPI Number: | 1467135822 |
| NPI Enumeration Date: | 10 Aug, 2023 |
| NPI Last Update On: | 10 Aug, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provo Pdc Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Periodontics | | | Secondary | |
| Oral and Maxillofacial Surgery | | | Secondary | |
| Orthotist | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Provo Pdc Pllc
Po Box 970176,
Orem, Utah |
| Zip: | 84097-0119 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Provo Pdc Pllc at
2255 N University Pkwy Ste 39, Provo, Utah or can
call to book an appointment on 801-426-6255.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.