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Organization

NORTH POINTE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNA MUNSON (CHIEF OPERATIONS OFFICER)
(385) 219-9161
Entity
Organization

Contact information

Practice address
10290 N NORTH COUNTY BLVD # 101, HIGHLAND, UT 84003-8973
(801) 805-1934
(801) 805-1930
Mailing address
1261 S 820 E STE 100, AMERICAN FORK, UT 84003-3875
(801) 805-1934
(801) 805-1930

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7002323-9923
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
Enumeration date
01/25/2023
Last updated
02/02/2023
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