Organization
INTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS
Active
Parent organization
INTERMOUNTAIN DENTAL ASSOCIATES SPECIALTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN DENTAL ASSOCIATES SPECIALTY
Authorized official
VICKI LEWIS (SPECIALIST COORDINATOR)
(801) 782-5682
Entity
Organization
Contact information
Practice address
2721 N 400 E, SUITE 2, NORTH OGDEN, UT 84414-2393
(801) 782-5682
(801) 786-0520
Mailing address
2721 N 400 E, SUITE 2, NORTH OGDEN, UT 84414-2393
(801) 782-5682
(801) 786-0520
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
144024-9922
UT
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us