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Intermountain Dental Associates -Periodontics

Periodontics in North Ogden, UT · enumerated 2011 · authorized official Vicki Lewis, Specialist Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093083990

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Registry record

Entity type Organization (Type 2)
Legal business name Intermountain Dental Associates -Periodontics
Parent organization Intermountain Dental Associates Specialty
Practice address 2721 N 400 E, Suite 2, North Ogden, UT, 84414
Fax (801) 786-0520
Enumeration date Dec 6, 2011
Last updated in NPPES Dec 6, 2011

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 144024-9922 (UT) Primary

Authorized official

Name Vicki Lewis
Title Specialist Coordinator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Intermountain Dental Associates -Periodontics?
The NPI for Intermountain Dental Associates -Periodontics is 1093083990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Intermountain Dental Associates -Periodontics?
NPPES lists Vicki Lewis (Specialist Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-06.