INTERMOUNTAIN DENTAL ASSOCIATES - SURGICAL ASSOCIATES
NPI 1598033409
Dentist - Oral and Maxillofacial Surgery 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 09, 2026.

About Intermountain Dental Associates - Surgical Associates NPPES

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

INTERMOUNTAIN DENTAL ASSOCIATES - SURGICAL ASSOCIATES (NPI 1598033409) is a healthcare organization registered as an oral and maxillofacial surgery 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

NPI1598033409
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameINTERMOUNTAIN DENTAL ASSOCIATES - SURGICAL ASSOCIATES
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 Llc
Authorized OfficialVicki LewisSpecialist Coordinator · (801) 782-5682
Enumeration DateDecember 6, 2011
NPI 1598033409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in UT · 144024-9922
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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 (Periodontics)
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 - Surgical Associates's NPI number?

The NPI number for Intermountain Dental Associates - Surgical Associates is 1598033409. It was assigned to this organization in the NPPES registry on December 6, 2011.

Where is Intermountain Dental Associates - Surgical Associates located?

Intermountain Dental Associates - Surgical Associates 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 - Surgical Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Intermountain Dental Associates - Surgical Associates 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.