Provo Pdc Pllc

NPI #1467135822 in Provo, Utah

Provider Information

NPI Number: 1467135822
Entity Type: Organization
Organization Name: Provo Pdc Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 2255 N UNIVERSITY PKWY STE 39
City: Provo
State: Utah
ZIP Code: 84604-1503
Phone: (801) 426-6255

Authorized Official

Name: JUAN CHAVEZ, DMD
Title: OWNER
Phone: (801) 691-1701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Orthotist	222Z00000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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DR. Louis A Erickson, DDS	Dentist - General Practice	Provo	AI Deep Dive
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