IndividualActive
Conner Belnap
NPI 1356933840 · Orthodontics and Dentofacial Orthopedics Dentistry · Logan, UT
Provider details
- NPI number
- 1356933840
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LL-550-21 (NV)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
965 South 100 West Ste 100
965 South 100 West Ste 100
Logan, UT 84321
Phone: (435) 752-7953
Approximate (ZIP-level) locationGet directions
Mailing address
965 S 100 W Ste 100
Logan, UT 84321-6063
Registry dates
- Enumerated
- 2021-02-06
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.