Canyon Dental Group LLC
NPI 1669887204ActiveOrganization· Dentist, General Practice· Ogden, UT
Dentist, General Practice in Ogden, Utah, registered in NPPES in June 2014. The authorized official on file is Bart Wilson Wolthuis, DDS, Dr.
Overview
| NPI | 1669887204 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2014 |
| Last updated in NPPES | Jun 23, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 140299 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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