Intermountain Dental Associates-Endodontics
NPI 1881962785ActiveOrganization· Dentist, Endodontics· North Ogden, UT
Dentist, Endodontics in North Ogden, Utah, registered in NPPES in December 2011, part of Intermountain Dental Associates Specialty LLC. The authorized official on file is Vicki Lewis, Specialist Coordintor.
Overview
| NPI | 1881962785 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Intermountain Dental Associates Specialty LLC |
| NPI issued | Dec 6, 2011 |
| Last updated in NPPES | Dec 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 144024 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Dentist, Endodontics providers in North Ogden
- 1386969806