Providence Pdc Pllc, NPI 1598390494
Dentist in Providence, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1598390494
NPI Entity Type Organization
Provider Name Providence Pdc Pllc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 169 N Gateway Dr, Suite #105, Providence, UT, US
Provider Mailing Address Po Box 970238, Orem, UT, US, 840970309
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jacob Warner
Official Position CREDENTIALING MANAGER
Phone 801-691-1701

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

122300000X

Taxonomy Name Dentist
Classification

Dentist

Group

Dental Providers

Description A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Other Organization Name

Platinum Dental Care-Providence
Doing Business As

Business Address

Providence Pdc Pllc
169 N Gateway Dr
Suite #105

Providence, UT, US

Phone: 435-610-2474

Mailing Address

Providence Pdc Pllc
Po Box 970238
Orem, UT, US
ZIP 840970309
Phone: 801-691-1701
Fax: 801-335-6551

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