Adc Provo LLC

NPI #1558212936 in Provo, Utah

Provider Information

NPI Number: 1558212936
Entity Type: Organization
Organization Name: Adc Provo LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 3, 2026
Last Updated: Feb 3, 2026

Practice Location

Address: 247 W 2230 N STE 101
City: Provo
State: Utah
ZIP Code: 84604-7582
Phone: (801) 375-1414

Authorized Official

Name: JAMES COLE MCWHORTER
Title: OWNER
Phone: (801) 592-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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