NPI 1295091387 · live from the CMS NPI Registry
American Fork Modern Dentistry, Llp
Dentist, General Practice in American Fork, UT. National Provider Identifier 1295091387, active.
NPI record
| NPI | 1295091387 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 945 West 500 North, Suite 105, American Fork, UT 84003 |
| Practice phone | 801-756-5643 |
| Mailing address | 17000 Red Hill Ave, Irvine, CA 92614 |
| Enumerated | April 3, 2012 |
| Last updated | December 31, 2013 |
| Authorized official | Eric Swensen, DDS/Owner |
| Other names | American Fork Modern Dentistry And Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.