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HERITAGE PARK BOULEVARD DENTAL PLLC
NPI 1417739715
Dentist - Endodontics in Ogden, UT

Active since October 20, 2023
2719 US-89, SUITE 100, OGDEN, UT 84404(801) 782-5792(801) 782-3339 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Park Boulevard Dental Pllc NPPES

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

HERITAGE PARK BOULEVARD DENTAL PLLC (NPI 1417739715) is a healthcare organization registered as an endodontics in Ogden, Utah and active in the NPI registry since October 2023. The organization lists Jenny Garcia-rocha, Sr Team Lead, as its authorized official.

NPPES Registry Identity

NPI1417739715
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameHERITAGE PARK BOULEVARD DENTAL PLLC
Location Address2719 US-89, SUITE 100Ogden, UT 84404
Mailing Address2719 Us-89, Suite 100Ogden, UT 84404 · (801) 782-5792 · Fax (801) 782-3339
Phone(801) 782-5792
Fax(801) 782-3339
Organization SubpartNo
Authorized OfficialJenny Garcia-rochaSr Team Lead · (972) 869-3789
Enumeration DateOctober 20, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1417739715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

2719 US-89, Ogden, UT 84404
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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 Heritage Park Boulevard Dental PLLC's NPI number?

The NPI number for Heritage Park Boulevard Dental PLLC is 1417739715. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Heritage Park Boulevard Dental PLLC located?

Heritage Park Boulevard Dental PLLC is located at 2719 Us-89 Suite 100, Ogden, UT 84404. The listed phone number is (801) 782-5792.

What is Heritage Park Boulevard Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Heritage Park Boulevard Dental PLLC was last updated on October 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.