Icon Dentistry of Utah LLC

NPI #1598564080 in Orem, Utah

Provider Information

NPI Number: 1598564080
Entity Type: Organization
Organization Name: Icon Dentistry of Utah LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 10, 2025
Last Updated: Mar 10, 2025

Practice Location

Address: 819 N 900 W
City: Orem
State: Utah
ZIP Code: 84057-7701
Phone: (801) 318-8520

Authorized Official

Name: MRS. SHAUNA MAUGHAN
Title: OWNER/MANAGER
Phone: (801) 318-8520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Laboratory	292200000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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