OrganizationActive
Heath Hendrickson Mbr
NPI 1083978316 · General Practice Dentistry · Provo, UT
Heath Hendrickson Mbr is a General Practice Dentistry organization in Provo, UT (NPI 1083978316).
Provider details
- NPI number
- 1083978316
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Raymond Hendrickson, Owner(801) 370-0050
- License
- 5136599922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2230 N University Pkwy Ste 8a
Provo, UT 84604-6702
Phone: (801) 370-0050
Street-level locationGet directions
Mailing address
2230 N University Pkwy Ste 8a
Provo, UT 84604-6702
Other names (DBA / former)
- Doing business as
- Wisdom Teeth Only
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2012-07-02
Frequently asked questions
- What is Heath Hendrickson Mbr's NPI number?
- Heath Hendrickson Mbr's National Provider Identifier (NPI) is 1083978316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heath Hendrickson Mbr?
- Heath Hendrickson Mbr is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Heath Hendrickson Mbr located?
- Heath Hendrickson Mbr's practice location on file with NPPES is 2230 N University Pkwy Ste 8a, Provo, UT 84604-6702.
- What is Heath Hendrickson Mbr's phone number?
- The practice phone number listed in the NPPES registry for Heath Hendrickson Mbr is (801) 370-0050.
- Who is the authorized official for Heath Hendrickson Mbr?
- The authorized official listed on Heath Hendrickson Mbr's NPPES record is Raymond Hendrickson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heath Hendrickson Mbr's NPI active?
- Yes — Heath Hendrickson Mbr's NPI (1083978316) is active in the NPPES registry as of the last update on 2012-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.