Blue Mountain Family Dental
Blue Mountain Family Dental provides General Practice Dentistry in Provo, Utah. Licensed in Utah. Registered with an NPI since 2015.
- Licensed in
- UT
- In the registry since
- 2015
Practice location Address checks out
1675 N 200 W #8AProvo, UT 84604 Not confirmed with CMS for 11 years — call before visiting
Phone: (801) 356-7329
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 7369645 (UT) |
|---|
Record details
| NPI number | 1003206350 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Hilmo — General Dentist · (801) 356-7329 |
| NPI enumerated | January 26, 2015 |
| Last updated in NPPES | January 26, 2015 |
| Mailing address | 1675 N 200 W #8a, Provo, UT 84604 |
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