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MOUNTAIN RIDGE DENTAL
NPI 1417240888
Clinic/Center - Dental in Orem, UT

Active since May 18, 2011
1256 S STATE ST, SUITE 103, OREM, UT 84097(801) 224-7182(801) 235-0835 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mountain Ridge Dental NPPES

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

MOUNTAIN RIDGE DENTAL (NPI 1417240888) is a healthcare organization registered as a dental in Orem, Utah and active in the NPI registry since May 2011. The organization lists John Green, Owner, Doctor, as its authorized official.

NPPES Registry Identity

NPI1417240888
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJOHN GREEN DENTISTRY PC
Location Address1256 S STATE ST, SUITE 103Orem, UT 84097-8237
Mailing Address1256 S State St, Suite 103Orem, UT 84097-8237 · (801) 224-7182 · Fax (801) 235-0835
Phone(801) 224-7182
Fax(801) 235-0835
Organization SubpartNo
Authorized OfficialJohn GreenOwner, Doctor · (801) 224-7182
Enumeration DateMay 18, 2011
✔ NPI 1417240888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in UT · 7692415-9922
1256 S STATE ST, Orem, UT 84097
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Other Names 1

Doing Business AsMountain Ridge Dental

Other Providers at the Same Location NPPES 4

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

DR. JUAN C. CHAVEZ D.M.D.
Dentist (General Practice)
1256 S STATE ST, SUITE 103
OREM, UT 84097
Utah County (801) 224-7182
DOUGLAS HANSEN DMD
Dentist
1256 S STATE ST
OREM, UT 84097
Utah County (801) 607-5024
MOUNTAIN RIDGE DENTAL, LLC
Dentist (General Practice)
1256 S STATE ST, SUITE 103
OREM, UT 84097
Utah County (801) 224-7182
JENILEE DAVIDSON
Social Worker (Clinical)
1256 S STATE ST
OREM, UT 84097
Utah County (801) 602-4849

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 John Green Dentistry PC's NPI number?

The NPI number for John Green Dentistry PC is 1417240888. It was assigned to this organization in the NPPES registry on May 18, 2011.

Where is John Green Dentistry PC located?

John Green Dentistry PC is located at 1256 S State St Suite 103, Orem, UT 84097. The listed phone number is (801) 224-7182.

What is John Green Dentistry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for John Green Dentistry PC was last updated on May 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.