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Provo Pdc Pllc
Orthotist in Provo, Utah
NPI 1467135822

Provo Pdc Pllc is a Orthotist based in Orem, UT. Provo Pdc Pllc practices in Provo, UT. The NPI Number for Provo Pdc Pllc is 1467135822 and holds a License No. (Utah).

The current practice location address for Provo Pdc Pllc is 2255 N University Pkwy Ste 39, Provo, UT and can be reached out via phone at 801-426-6255 and via fax at 801-734-3714. You can also correspond with Provo Pdc Pllc through the mailing address at PO BOX 970176, OREM, UT - 84097-0119 (mailing address contact number: ).

Location: 2255 N University Pkwy Ste 39, Provo, UT, 84097-0119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467135822
Provider Name
Provo Pdc Pllc
Credential
Provider Entity Type
Organization
Address
2255 N University Pkwy Ste 39, Provo, UT, 84097-0119
Phone Number
801-426-6255
Fax Number
801-734-3714
Provider Enumeration Date
08/10/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2255 N University Pkwy Ste 39
City
Provo
State
Utah
Zip
84604-1503
Phone Number
801-426-6255
Fax Number
801-734-3714
person
Provider Business Mailing Address Details
Address
2255 N University Pkwy Ste 39
City
Provo
State
Utah
Zip
84604-1503
Phone Number
801-426-6255
Fax Number
801-734-3714
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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