NPI 1174633028 · live from the CMS NPI Registry
Advanced Family Dental INC
Dentist in Cedar City, UT. National Provider Identifier 1174633028, active.
NPI record
| NPI | 1174633028 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 415 N Main, Suite 203, Cedar City, UT 84720 |
| Practice phone | 435-867-0644 |
| Mailing address | 415 N Main, Suite 203, Cedar City, UT 84721 |
| Enumerated | August 30, 2006 |
| Last updated | February 3, 2009 |
| Authorized official | Mindy Smith, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 6259409921 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.