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IVORY RIDGE PEDIATRIC DENTISTRY
NPI 1720466303
Clinic/Center - Dental in Lehi, UT

Active since May 14, 2015
3401 N CENTER STREET, LEHI, UT 84043(801) 918-4135 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About IVORY RIDGE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Ivory Ridge Pediatric Dentistry, a provider established in Lehi, Utah operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1720466303 assigned on May 2015. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Marci Nicol (Vp Of Operations)

NPI
1720466303 Verify this NPI
Provider Name
IVORY RIDGE PEDIATRIC DENTISTRY
Entity Type
Organization
Location Address
3401 N CENTER STREET LEHI, UT 84043
Location Phone
(801) 918-4135
Mailing Address
3401 NORTH CENTER STREET LEHI, UT 84043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2015
Last Update Date
05-14-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARCI NICOL

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(801) 918-4135

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Frequently Asked Questions

What is IVORY RIDGE PEDIATRIC DENTISTRY's NPI number?

The NPI number assigned to this healthcare provider is 1720466303, enumerated as an "organization" on May 14, 2015.

Where is the provider located?

The provider is located at 3401 N CENTER STREET LEHI, UT 84043 and the phone number is (801) 918-4135.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.