Ashley Valley Family Dental

Organization Active NPI General Practice Dentistry · Vernal, UT

NPI 1184096026 · NPPES record last updated Oct 29, 2015

Key facts

NPI
1184096026
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4920693-9922 (UT)
Legal business name
ASHLEY VALLEY FAMILY DENTAL
Practice address
606 N 1700 W
Vernal, UT 84078-8200
Phone
(435) 789-1748
Fax
(435) 781-0081
NPI assigned
Oct 29, 2015
Organization subpart
No

Authorized official

Name
Jeremy Brian Abrams, D.M.D.
Title
Dentist
Phone
(435) 789-1748

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Ashley Valley Family Dental (2 organizations share this tax ID)

Locations

606 N 1700 W
Vernal, UT 84078
Phone (435) 789-1748

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 4920693-9922 UT Yes
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 6221913-9922 UT

Addresses

Primary practice location

606 N 1700 W
Vernal, UT 84078-8200

Mailing address

606 N 1700 W
Vernal, UT 84078-8200
Phone (435) 789-1748

Other providers in Vernal, UT

All providers in Vernal, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.