NPI 1265984660 · live from the CMS NPI Registry
Advanced Dental PC
Dentist in Vernal, UT. National Provider Identifier 1265984660, active.
NPI record
| NPI | 1265984660 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1272 W Highway 40, Vernal, UT 84078 |
| Practice phone | 435-781-0660 |
| Enumerated | November 1, 2016 |
| Last updated | November 18, 2020 |
| Authorized official | Tyler Shiner, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | 6712357-9923 (UT) |
| Dentist primary | 122300000X | 6712357-9923 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.