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WISDOM TEETH ONLY
NPI 1083978316
Dentist - General Practice in Provo, UT

Active since July 02, 2012
2230 N UNIVERSITY PKWY STE 8A, PROVO, UT 84604(801) 370-0050 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wisdom Teeth Only NPPES

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

WISDOM TEETH ONLY (NPI 1083978316) is a healthcare organization registered as a general practice in Provo, Utah and active in the NPI registry since July 2012. The organization lists Raymond Heath Hendrickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1083978316
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEATH HENDRICKSON MBR
Location Address2230 N UNIVERSITY PKWY STE 8AProvo, UT 84604-6702
Mailing Address2230 N University Pkwy Ste 8aProvo, UT 84604-6702 · (801) 370-0050
Phone(801) 370-0050
Organization SubpartNo
Authorized OfficialRaymond Heath HendricksonOwner · (801) 370-0050
Enumeration DateJuly 2, 2012
✔ NPI 1083978316 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 · 5136599922
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.
2230 N UNIVERSITY PKWY STE 8A, Provo, UT 84604
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Other Names 1

Doing Business AsWisdom Teeth Only

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WISDOM TEETH ONLY
Dentist
2230 N UNIVERSITY PKWY STE 8A
PROVO, UT 84604
Utah County (801) 370-0050

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 Heath Hendrickson Mbr's NPI number?

The NPI number for Heath Hendrickson Mbr is 1083978316. It was assigned to this organization in the NPPES registry on July 2, 2012. The provider is doing business as Wisdom Teeth Only.

Where is Heath Hendrickson Mbr located?

Heath Hendrickson Mbr is located at 2230 N University Pkwy Ste 8A, Provo, UT 84604. The listed phone number is (801) 370-0050.

What is Heath Hendrickson Mbr'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 Heath Hendrickson Mbr was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.