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PROVO PDC PLLC
NPI 1467135822
Dentist - General Practice in Provo, UT

Active since August 10, 2023
2255 N UNIVERSITY PKWY STE 39, PROVO, UT 84604(801) 426-6255(801) 734-3714 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provo Pdc Pllc NPPES

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

PROVO PDC PLLC (NPI 1467135822), doing business as Platinum Dental Care, is a healthcare organization registered as a general practice in Provo, Utah and active in the NPI registry since August 2023. The organization lists Juan Chavez, Owner, as its authorized official.

NPPES Registry Identity

NPI1467135822
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROVO PDC PLLC
Location Address2255 N UNIVERSITY PKWY STE 39Provo, UT 84604-1503
Mailing AddressPo Box 970176Orem, UT 84097-0119
Phone(801) 426-6255
Fax(801) 734-3714
Organization SubpartNo
Authorized OfficialJuan ChavezOwner · (801) 691-1701
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1467135822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedOrthotistTaxonomy 222Z00000X
2255 N UNIVERSITY PKWY STE 39, Provo, UT 84604
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Other Names 1

Doing Business AsPlatinum Dental Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

GENESIS DENTAL OF PROVO
Clinic/Center (Dental)
2255 N UNIVERSITY PKWY STE 39
PROVO, UT 84604
Utah County (801) 319-6743

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 Provo Pdc PLLC's NPI number?

The NPI number for Provo Pdc PLLC is 1467135822. It was assigned to this organization in the NPPES registry on August 10, 2023. The provider is doing business as Platinum Dental Care.

Where is Provo Pdc PLLC located?

Provo Pdc PLLC is located at 2255 N University Pkwy Ste 39, Provo, UT 84604. The listed phone number is (801) 426-6255.

What is Provo Pdc PLLC's specialty?

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

What insurance does Provo Pdc PLLC accept?

Health plans from UnitedHealthcare list Provo Pdc PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provo Pdc PLLC was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.