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NPI 1740386713 · live from the CMS NPI Registry

Ashman Dental L.L.C.

Dentist, General Practice in Provo, UT. National Provider Identifier 1740386713, active.

NPI record

NPI1740386713 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location1355 N University Ave Ste 300, Provo, UT 84604
Practice phone801-373-6928
EnumeratedSeptember 16, 2006
Last updatedAugust 22, 2020
Authorized officialTyler Ashman, Owmer

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice1223G0001X264214 (UT)
Dentist, General Practice primary1223G0001X128884 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.