Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Dermatology of Bountiful LLC

Organization Dermatology Physician · NPI 1629396841

Integrated Dermatology of Bountiful LLC provides Dermatology Physician services in Centerville, Utah. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1222 W Legacy Crossing Blvd Ste 200
Centerville, UT 84014-5560
Phone: (801) 298-3802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1629396841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Plotkin — Owner · (561) 314-2000
NPI enumeratedMay 12, 2010
Last updated in NPPESJanuary 15, 2019
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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