Bountiful Dentistry

General Practice Dentistry · Bountiful, UT

Organization Active NPI

NPI number 1053743922

Practice location

625 E 500 S
Suite 201
Bountiful, UT 84010-3882
Phone
(801) 292-0443

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NPI record

NPI
1053743922
Entity type
Organization (Type 2)
Enumeration date
August 2, 2013
Last updated
August 2, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2013-45880 UT

Authorized official

Name
Dr. Mark Nelson
Title
Part Owner
Phone
(801) 295-8322

About Bountiful Dentistry

Bountiful Dentistry is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 625 E 500 S, Suite 201, Bountiful, UT 84010-3882. The NPI number 1053743922 was assigned on August 2, 2013 and the record was last updated on August 2, 2013.

Bountiful Dentistry lists a license in the registry: #2013-45880 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mark Nelson, Part Owner.

Frequently asked questions

What is the NPI number of Bountiful Dentistry?

The NPI number is 1053743922.

What is the phone number of Bountiful Dentistry?

The phone number listed for the practice location is (801) 292-0443.

Where is Bountiful Dentistry located?

625 E 500 S, Suite 201, Bountiful, UT 84010-3882.

What is the taxonomy code for Bountiful Dentistry?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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