INTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS
NPI 1093083990
Dentist - Periodontics in North Ogden, UT

Active since December 06, 2011
2721 N 400 E, SUITE 2, NORTH OGDEN, UT 84414(801) 782-5682(801) 786-0520 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intermountain Dental Associates -periodontics NPPES

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

INTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS (NPI 1093083990) is a healthcare organization registered as a periodontics in North Ogden, Utah and active in the NPI registry since December 2011. The organization lists Vicki Lewis, Specialist Coordinator, as its authorized official.

NPPES Registry Identity

NPI1093083990
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameINTERMOUNTAIN DENTAL ASSOCIATES -PERIODONTICS
Location Address2721 N 400 E, SUITE 2North Ogden, UT 84414-2393
Mailing Address2721 N 400 E, Suite 2North Ogden, UT 84414-2393 · (801) 782-5682 · Fax (801) 786-0520
Fax(801) 786-0520
Organization SubpartYesParent: Intermountain Dental Associates Specialty
Authorized OfficialVicki LewisSpecialist Coordinator · (801) 782-5682
Enumeration DateDecember 6, 2011
NPI 1093083990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in UT · 144024-9922
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2721 N 400 E, North Ogden, UT 84414

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 6

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

Dentist (Oral and Maxillofacial Surgery)
2721 N 400 E, SUITE 2
NORTH OGDEN, UT 84414
Dentist (Orthodontics and Dentofacial Orthopedics)
2721 N 400 E, SUITE 2
NORTH OGDEN, UT 84414
Counselor (Mental Health)
2721 N 400 E, SUITE 8
NORTH OGDEN, UT 84414
Dentist (Orthodontics and Dentofacial Orthopedics)
2721 N 400 E, SUITE 2
NORTH OGDEN, UT 84414
Dentist (Endodontics)
2721 N 400 E, SUITE 2
NORTH OGDEN, UT 84414
Clinic/Center (Mental Health (Including Community Mental Health Center))
2721 N 400 E
NORTH OGDEN, UT 84414

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 Intermountain Dental Associates -Periodontics's NPI number?

The NPI number for Intermountain Dental Associates -Periodontics is 1093083990. It was assigned to this organization in the NPPES registry on December 6, 2011.

Where is Intermountain Dental Associates -Periodontics located?

Intermountain Dental Associates -Periodontics is located at 2721 N 400 E Suite 2, North Ogden, UT 84414. The listed phone number is (801) 782-5682.

What is Intermountain Dental Associates -Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Intermountain Dental Associates -Periodontics was last updated on December 6, 2011. 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.