BLUE MOUNTAIN FAMILY DENTAL (NPI# 1003206350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003206350 |
| Entity Type | Organization |
| Organization Name | BLUE MOUNTAIN FAMILY DENTAL |
| Practice Address |
1675 N 200 W #8a Provo UT 84604 |
| Practice Telephone | 8013567329 |
| Mailing Telephone | 8013567329 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | DR. JUSTIN TODD HILMO (GENERAL DENTIST) |
| Authorized Official Telephone | 8013567329 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7369645 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 050828 | 05 |
| Street Address |
1675 N 200 W #8A |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574870 | Tanner Gardner Perry | Dentist | 320 River Park Dr Ste 225, Provo, UT 84604-6065 | 2019-05-28 |
| 1215342282 | Jay D Scott Dds PC | Dentist | 3330 N University Ave Ste A, Provo, UT 84604-4454 | 2014-06-27 |
| 1780939348 | Todd Clinton Groesbeck | Dentist | 247 W 2230 N Ste 101, Provo, UT 84604-7582 | 2012-07-19 |
| 1083978316 | Heath Hendrickson Mbr | Dentist | 2230 N University Pkwy Ste 8a, Provo, UT 84604-6702 | 2012-07-02 |
| 1639472665 | Gregory William Sefcik | Dentist | 1383 W 1825 N, Provo, UT 84604-1125 | 2010-12-14 |
| 1093043143 | Chris Hammond | Dentist | 3575 N 100 E Ste 200, Provo, UT 84604-6653 | 2009-12-01 |
| 1043440357 | Paul Henry Rogers | Dentist | 777 N. 500 W., #201, Provo, UT 84601 | 2009-07-21 |
| 1336309640 | Owen E Wolfgramm | Dentist | 2476 N University Pkwy Ste 101, Provo, UT 84604-3801 | 2008-06-10 |
| 1013111277 | Robert L. Hamblin, D.d.s. | Dentist | 3200 N Canyon Rd Ste F, Provo, UT 84604-4571 | 2007-06-12 |
| 1215158498 | David Glen Lee | Dentist | 1675 N Freedom Blvd Ste 8a, Provo, UT 84604-2501 | 2007-05-02 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.