Provo Pediatric Dental - Dental Clinic in Provo, UT

Provo Pediatric Dental is a dental clinic (Dentist - Pediatric Dentistry) in Provo, Utah. The current practice location for Provo Pediatric Dental is 745 N 500 W, Provo, Utah. For appointments, you can reach them via phone at (801) 373-4200. The mailing address for Provo Pediatric Dental is 391 N 400 E, Price, Utah and phone number is (435) 637-9590.

Provo Pediatric Dental is licensed to practice in * (Not Available) (license number ) and its NPI number is 1184320293. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (801) 373-4200.

Contact Information

Provo Pediatric Dental
745 N 500 W
Provo
UT 84601-1472
(801) 373-4200
(801) 373-0816

Dental Care Clinic Profile

Full NameProvo Pediatric Dental
SpecialityDentist - Pediatric Dentistry
Location745 N 500 W, Provo, Utah
Authorized Official Name and PositionBarbara Mccourt (OFFICE MANAGER)
Authorized Official Contact4356379590
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Provo Pediatric Dental
391 N 400 E
Price
UT 84501-2537

Ph: (435) 637-9590
Provo Pediatric Dental
745 N 500 W
Provo
UT 84601-1472

Ph: (801) 373-4200

NPI Details:

NPI Number1184320293
Provider Enumeration Date02/01/2023
Last Update Date02/01/2023

Medical Identifiers

Medical identifiers for Provo Pediatric Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184320293NPI-NPPES
1811446727OtherUTTYPE 1 NPI
1912072620OtherUTTYPE 1 NPI
1598830291OtherUTTYPE 1 NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary

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