IndividualActive
Robert Ferrell, DMD, MS
NPI 1548330004 · Periodontics · Provo, UT
Provider details
- NPI number
- 1548330004
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 350703 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
619 N 500 W
Provo, UT 84601-1547
Phone: (801) 374-8002
Approximate (ZIP-level) locationGet directions
Mailing address
1508 E Skyline Dr
Ogden, UT 84405-4846
Additional practice locations (1)
- 280 Vista Knoll Pkwy Ste 114Reno, NV 89506-5649Phone: (775) 971-9282
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.