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Academy Dental Llc
Advanced Practice Dental Therapist in Provo, Utah
NPI 1184132623

Academy Dental Llc is an Advanced Practice Dental Therapist based in Provo, UT. Academy Dental Llc practices in Provo, UT. The NPI Number for Academy Dental Llc is 1184132623 and holds a License No. 372923 (Utah).

The current practice location address for Academy Dental Llc is 488 N 100 E St., Provo, UT and can be reached out via phone at 801-374-0867.

Location: 488 N 100 E St., Provo, UT, 84606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184132623
Provider Name
Academy Dental Llc
Credential
Provider Entity Type
Organization
Address
488 N 100 E St., Provo, UT, 84606
Phone Number
801-374-0867
Fax Number
Provider Enumeration Date
01/18/2018
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
488 N 100 E St.
City
Provo
State
Utah
Zip
84606
Phone Number
801-374-0867
Fax Number
person
Provider Business Mailing Address Details
Address
488 N 100 E St.
City
Provo
State
Utah
Zip
84606
Phone Number
801-374-0867
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
372923 (Utah)
Definition
An Advanced Practice Dental Therapist is:<br/>(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<br/>(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.<br/>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.
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