Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Academy Dental LLC

Advanced Practice Dental Therapist in Provo, UT · enumerated 2018 · authorized official Corbin Matthews, Owner.

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

National Provider Identifier

1184132623

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Academy Dental LLC

Other name <Unavail>

Parent organization Academy Dental LLC

Practice address 488 N 100 E St., Provo, UT, 84606

Phone (801) 374-0867

Enumeration date Jan 18, 2018

Last updated in NPPES Jan 18, 2018

Taxonomy & classification

125K00000X Advanced Practice Dental Therapist Dental Providers · License 372923 (UT) Primary

125K00000X Advanced Practice Dental Therapist Dental Providers · License 8372408-9922 (UT) Secondary

Authorized official

Name Corbin Matthews

Title Owner

Phone (801) 473-6455

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-01-18. Verify at npiregistry.cms.hhs.gov.

Where is Academy Dental LLC located?

The practice location on file with NPPES is in Provo, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-18.