Provo Pediatric Dental is a Pediatric Dental Clinic in Provo, Utah. It is located at 745 N 500 W, Provo, UT and its contact number is 801-373-4200. The authorized person for Provo Pediatric Dental is Barbara Mccourt
who is Office Manager of the clinic and their contact number is 435-637-9590. Provo Pediatric Dental Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Provo Pediatric Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Provo Pediatric Dental
Specialization:
Pediatric Dentistry
Clinic Address:
745 N 500 W, Provo, Utah, 84601-1472
Phone:
801-373-4200
Fax:
801-373-0816
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:
Barbara Mccourt
Position:
Office Manager
Contact Number:
435-637-9590
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 Pediatric Dental clinic are as mentioned below.
NPI Number:
1184320293
NPI Enumeration Date:
01 Feb, 2023
NPI Last Update On:
01 Feb, 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 Pediatric Dental are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
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
1811446727
Other
Utah
Type 1 Npi
1912072620
Other
Utah
Type 1 Npi
1598830291
Other
Utah
Type 1 Npi
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 Pediatric Dental 391 N 400 E, Price, Utah
Zip:
84501-2537
Phone Number:
435-637-9590
Fax Number:
435-637-2228
Patients can reach Provo Pediatric Dental at 745 N 500 W, Provo, Utah or can call to book an appointment on 801-373-4200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.