BLUE MOUNTAIN FAMILY DENTAL
NPI 1003206350
Dentist - General Practice in Provo, UT

Q: What is Blue Mountain Family Dental's NPI number?

The NPI number for Blue Mountain Family Dental is 1003206350. It was assigned to this organization in the NPPES registry on January 26, 2015.

Q: What is Blue Mountain Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 26, 2015

1675 N 200 W #8A, PROVO, UT 84604(801) 356-7329 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blue Mountain Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE MOUNTAIN FAMILY DENTAL (NPI 1003206350) is a healthcare organization registered as a general practice in Provo, Utah and active in the NPI registry since January 2015. The organization lists Justin Todd Hilmo, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1003206350

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBLUE MOUNTAIN FAMILY DENTAL

Location Address1675 N 200 W #8AProvo, UT 84604

Mailing Address1675 N 200 W #8aProvo, UT 84604 · (801) 356-7329

Phone(801) 356-7329

Organization SubpartNo

Authorized OfficialJustin Todd HilmoGeneral Dentist · (801) 356-7329

Enumeration DateJanuary 26, 2015

✔ NPI 1003206350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 7369645

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other Identifiers 1

Medicaid050828UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Mountain Family Dental's NPI number?

The NPI number for Blue Mountain Family Dental is 1003206350. It was assigned to this organization in the NPPES registry on January 26, 2015.

Where is Blue Mountain Family Dental located?

Blue Mountain Family Dental is located at 1675 N 200 W #8a, Provo, UT 84604. The listed phone number is (801) 356-7329.

What is Blue Mountain Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Blue Mountain Family Dental was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.