NPI 1184096026 · live from the CMS NPI Registry
Ashley Valley Family Dental
Dentist, General Practice in Vernal, UT. National Provider Identifier 1184096026, active.
NPI record
| NPI | 1184096026 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 606 N 1700 W, Vernal, UT 84078 |
| Practice phone | 435-789-1748 |
| Enumerated | October 29, 2015 |
| Last updated | October 29, 2015 |
| Authorized official | Jeremy Abrams, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 6221913-9922 (UT) |
| Dentist, General Practice primary | 1223G0001X | 4920693-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.