Wisdom Teeth Only

LBN: Dr. Heath Hendrickson
Wisdom Teeth Only is an health care organization with primary practice located at 2230 N University Pkwy 8A, Provo UT 84604-1509. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr. Heath Hendrickson can be contacted via phone (801) 370-0050, or through Hendrickson, Heath via phone (801) 370-0050.

Contact Information

Primary practice address
2230 N University Pkwy 8A Provo UT 84604-1509
Fax: (801) 370-9635
Website:
Authorized official contact:
Name: Hendrickson, Heath Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 51365979922 Utah

Profile Details

NPI number 1912212895
LBN Legal business name Dr. Heath Hendrickson
DBA Doing business as Wisdom Teeth Only
Authorized official Hendrickson, Heath Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2010
Last updated Aug 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912212895 NPPES
Utah MEDICAID HT000004-001

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