OrganizationActive
Intermountain Dental Associates -Periodontics
NPI 1093083990 · Periodontics · North Ogden, UT
Intermountain Dental Associates -Periodontics is a Periodontics organization in North Ogden, UT (NPI 1093083990).
Provider details
- NPI number
- 1093083990
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Parent organization
- Intermountain Dental Associates Specialty
- Organization subpart
- Yes
- Authorized official
- Vicki Lewis, Specialist Coordinator(801) 782-5682
- License
- 144024-9922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2721 N 400 E
Suite 2
North Ogden, UT 84414-2393
Phone: (801) 782-5682
Fax: (801) 786-0520
Street-level locationGet directions
Mailing address
2721 N 400 E
North Ogden, UT 84414-2393
Registry dates
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Frequently asked questions
- What is Intermountain Dental Associates -Periodontics's NPI number?
- Intermountain Dental Associates -Periodontics's National Provider Identifier (NPI) is 1093083990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intermountain Dental Associates -Periodontics?
- Intermountain Dental Associates -Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Intermountain Dental Associates -Periodontics located?
- Intermountain Dental Associates -Periodontics's practice location on file with NPPES is 2721 N 400 E, North Ogden, UT 84414-2393.
- What is Intermountain Dental Associates -Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Intermountain Dental Associates -Periodontics is (801) 782-5682.
- Who is the authorized official for Intermountain Dental Associates -Periodontics?
- The authorized official listed on Intermountain Dental Associates -Periodontics's NPPES record is Vicki Lewis, Specialist Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intermountain Dental Associates -Periodontics's NPI active?
- Yes — Intermountain Dental Associates -Periodontics's NPI (1093083990) is active in the NPPES registry as of the last update on 2011-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.