Maple Mountain Dental PLLC Dba Maple Mountain Dentistry
Organization Active NPI Dentist · Mapleton, UT
NPI 1497061162 · NPPES record last updated Aug 19, 2010
Key facts
- NPI
- 1497061162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- MAPLE MOUNTAIN DENTAL PLLC DBA MAPLE MOUNTAIN DENTISTRY
- Practice address
- 425 N Main St
Mapleton, UT 84664-3410 - Phone
- (801) 491-8191
- Fax
- (801) 491-4912
- NPI assigned
- Aug 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Tanya Westmoreland
- Title
- DDS
- Phone
- (801) 491-8191
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
425 N Main St
Mapleton, UT 84664-3410
Mailing address
425 N Main St
Mapleton, UT 84664-3410
Phone (801) 491-8191
Other providers in Mapleton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.