National Provider Identifier Database

ACADEMY DENTAL LLC
Advanced Practice Dental Therapist

An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.


Contact Information

ACADEMY DENTAL LLC
488 N 100 E ST.
PROVO, UT84606
Phone: 801-374-0867
Fax:
Website:
Specialty Taxonomy Code
* Advanced Practice Dental Therapist 125K00000X

* Indicates primary specialty

NPI Profile & details for ACADEMY DENTAL LLC

NPI Number 1184132623
Legal business name
LBN
ACADEMY DENTAL LLC
Authorized official CORBIN MATTHEWS - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 01/18/2018
Last updated 01/18/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 372923
  • UT License #: 8372408-9922

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ACADEMY DENTAL LLC

There are currently no reviews for ACADEMY DENTAL LLC


NPIdb - Home
v2.201