Mountainlands Community Health Center - East Bay Dental – Federally Qualified Health Center (FQHC), NPI 1699374496

Mountainlands Community Health Center - East Bay Dental is a healthcare provider. based in Provo, Utah. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Mountainlands Community Health Center - East Bay Dental is 1699374496

Main info

Organization
Name
Mountainlands Community Health Center - East Bay Dental
NPI
1699374496
Phone
(801) 855-0093
Address
589 S STATE ST
Authorized Official
ERIC JOHNSON FINANCIAL DIRECTOR
Enumeration Date
22 October 2020
Last Update Date
27 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Mountainlands Community Health Center - East Bay Dental

  • 589 S STATE ST

    PROVO, UT 846065056

    Phone: (801) 855-0093

    Type: Mailing

  • 299 E 900 S STE 101

    PROVO, UT 846066107

    Phone: (801) 429-2000

    Fax: (801) 429-2001

    Type: Location

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.

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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.

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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 84606)

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Reviews

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Frequently asked questions

What identifier follows Mountainlands Community Health Center - East Bay Dental across health systems?
The NPI 1699374496 uniquely identifies Mountainlands Community Health Center - East Bay Dental in U.S. healthcare data.
Should I treat Mountainlands Community Health Center - East Bay Dental as an active provider?
Patients and plans typically see Mountainlands Community Health Center - East Bay Dental as active in the national extract.
Which specialty label fits Mountainlands Community Health Center - East Bay Dental?
NPPES ties Mountainlands Community Health Center - East Bay Dental to Federally Qualified Health Center (FQHC) in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Mountainlands Community Health Center - East Bay Dental?
Mountainlands Community Health Center - East Bay Dental shows a connection to Provo, Utah in registry-derived data.
Why is information missing for Mountainlands Community Health Center - East Bay Dental?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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