Intermountain Dental Associates- Ortho- Cache Valley
NPI #1679842793 in North Ogden, Utah
Provider Information
- NPI Number
- 1679842793
- Entity Type
- Organization
- Organization Name
- Intermountain Dental Associates- Ortho- Cache Valley
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INTERMOUNTAIN DENTAL ASSOCIATES SPECIALTY LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 19, 2011
- Last Updated
- Dec 19, 2011
Practice Location
- Address
- 2721 N 400 E
- Address 2
- SUITE 2
- City
- North Ogden
- State
- Utah
- ZIP Code
- 84414-2393
- Phone
- (801) 782-5682
Authorized Official
- Name
- VICKI LEWIS
- Title
- SPECIALIST COORDINATOR
- Phone
- (801) 782-5682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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| Richard Steven Broadbent, D.M.D, M.S. |  AI Deep Dive |
| DR. Gary Anthony Carter, D.D.S., M.S. | AI Deep Dive |
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Organizations
| Provider Name | |
|---|---|
| Intermountain Dental Associates -Ortho-Mtn View Part of Intermountain Dental Associates Specialty LLC | AI Deep Dive |
| Ray Garner DDS PC | AI Deep Dive |
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