National Provider Identifier Database

HERITAGE PARK BOULEVARD DENTAL PLLC
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

HERITAGE PARK BOULEVARD DENTAL PLLC
2719 US-89
SUITE 100
OGDEN, UT84404
Phone: 801-782-5792
Fax: 801-782-3339
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for HERITAGE PARK BOULEVARD DENTAL PLLC

NPI Number 1417739715
Legal business name
LBN
HERITAGE PARK BOULEVARD DENTAL PLLC
Authorized official JENNY GARCIA-ROCHA - (SR TEAM LEAD)
Entity Organization
Organization subpart No
Enumeration date 10/20/2023
Last updated 10/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

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