OrganizationActive
Intermountain Dental Associates-Endodontics
NPI 1881962785 · Endodontics · North Ogden, UT
Provider details
- NPI number
- 1881962785
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Parent organization
- Intermountain Dental Associates Specialty LLC
- Organization subpart
- Yes
- Authorized official
- Vicki Lewis, Specialist Coordintor(801) 782-5682
- License
- 144024 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.