Academy Dental LLC
NPI 1184132623 · Advanced Practice Dental Therapist · Provo, UT
Academy Dental LLC is a Advanced Practice Dental Therapist organization in Provo, UT (NPI 1184132623).
Provider details
- NPI number
- 1184132623
- Entity type
- Organization
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Parent organization
- Academy Dental LLC
- Organization subpart
- Yes
- Authorized official
- Corbin Matthews, Owner(801) 473-6455
- License
- 8372408-9922 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Other names (DBA / former)
- Doing business as
- Academy Square Dental Care
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2018-01-18
Frequently asked questions
- What is Academy Dental LLC's NPI number?
- Academy Dental LLC's National Provider Identifier (NPI) is 1184132623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Academy Dental LLC?
- Academy Dental LLC is classified in the NPPES registry as Advanced Practice Dental Therapist (Dental Providers).
- Where is Academy Dental LLC located?
- Academy Dental LLC's practice location on file with NPPES is 488 N 100 E St., Provo, UT 84606.
- What is Academy Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Academy Dental LLC is (801) 374-0867.
- Who is the authorized official for Academy Dental LLC?
- The authorized official listed on Academy Dental LLC's NPPES record is Corbin Matthews, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Academy Dental LLC's NPI active?
- Yes — Academy Dental LLC's NPI (1184132623) is active in the NPPES registry as of the last update on 2018-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.