NPI 1053119735 · live from the CMS NPI Registry
Isabella Reese Augustine, DMD
Dentist, General Practice in Midvale, UT. National Provider Identifier 1053119735, active.
NPI record
| NPI | 1053119735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 49 W Center St, Midvale, UT 84047 |
| Practice phone | 385-887-9002 |
| Enumerated | March 6, 2025 |
| Last updated | June 29, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 14292042-9926 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.