Rocky Mountain Dental Associates, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4964666-9922 Issued in UT

Legal business name

ROCKY MOUNTAIN DENTAL ASSOCIATES, P.C.

Practice address

1480 Orchard Dr
Bountiful, UT 84010-5108

Phone

(801) 295-7171

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Robert W. Albertelli, DDS

Title

President

Phone

(801) 295-7171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760595706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105108",
            "telephone_number": "801-295-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105108",
            "telephone_number": "801-295-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERTELLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-295-7171",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "4964666-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Robinson, CSW
• Riley John Robinson, DDS
• John E Robison, M.D.
• Kimberly Ann Robison
• Raven Roche
• Derek Garn Rodeback, D.O.
• Kayleen Rodemack, MS CCC-SLP
• Brian J Rodgers, D. O.
• Rodney M. Jex DPM
• Jessica Rodriguez

• Dental Clinic/Center in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Dental Clinic/Center in Utah

• 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.