Bountiful Dentistry – Dental Clinic/Center, NPI 1417484163

Bountiful Dentistry is a healthcare provider. based in Bountiful, Utah. specializing in Dental Clinic/Center. The organization holds a License No. 4923271 (UT). The NPI Number for Bountiful Dentistry is 1417484163

Main info

Organization
Name
Bountiful Dentistry
NPI
1417484163
Phone
(801) 292-0443
Address
625 E 500 S
Authorized Official
SUZIE HENRY OFFICE MANAGER
Enumeration Date
12 May 2017
Last Update Date
12 May 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:9State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Bountiful Dentistry

  • 625, East 500 South, Bountiful, Davis County, Utah, 84010, United States

    SUITE 201

    BOUNTIFUL, UT 840103882

    Phone: (801) 292-0443

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84010)

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Reviews

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Frequently asked questions

What NPI should I save for Bountiful Dentistry?
Save NPI 1417484163 if you need a stable reference for Bountiful Dentistry.
Is Bountiful Dentistry's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Bountiful Dentistry?
The page reflects Dental Clinic/Center for Bountiful Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for Bountiful Dentistry?
We surface Bountiful, Utah for Bountiful Dentistry based on available NPPES addresses.
Is Bountiful Dentistry a real provider?
This page reflects official NPPES data for NPI 1417484163. Always confirm identity and privileges with the practice and licensing boards.

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