OrganizationActive
Provo Pediatric Dental
NPI 1184320293 · Pediatric Dentistry · Provo, UT
Provider details
- NPI number
- 1184320293
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Barbara Mccourt, Office Manager(435) 637-9590
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
745 N 500 W
Provo, UT 84601-1472
Phone: (801) 373-4200
Fax: (801) 373-0816
Street-level locationGet directions
Mailing address
391 N 400 E
Price, UT 84501-2537
Additional practice locations (1)
- 391 N 400 EPrice, UT 84501-2537Phone: (435) 637-9590Fax: (435) 637-2228
Registry dates
- Enumerated
- 2023-02-01
- Last updated
- 2023-02-01
- Certified
- 2023-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.