Organization Active NPI

Lloyd V. Tilt, DDS,Ms,PC

  • Dental Clinic/Center
  • Ogden, UT
National Provider Identifier
1235341744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1377129922 Issued in UT
Legal business name
LLOYD V. TILT, DDS,MS,PC
Practice address
3590 Harrison Blvd
Ste 3
Ogden, UT 84403-2403
Phone
(801) 394-6651
Fax
(801) 394-2557
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lloyd V. Tilt, DDS,MS
Title
President
Phone
(801) 394-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1377129922 UT Primary

Addresses

Primary practice location

3590 Harrison Blvd
Ste 3
Ogden, UT 84403-2403

Mailing address

3590 Harrison Blvd
Ste 3
Ogden, UT 84403-2403
Phone (801) 394-6651

National Provider Directory

National Provider Directory

Locations

3590 Harrison Blvd
Ste 3
Ogden, UT 84403
Phone (801) 394-6651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235341744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD",
            "address_2": "STE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032403",
            "telephone_number": "801-394-6651",
            "fax_number": "801-394-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD",
            "address_2": "STE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032403",
            "telephone_number": "801-394-6651",
            "fax_number": "801-394-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD V. TILT, DDS,MS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILT",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-394-6651",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "1377129922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.