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Active NPI 1558714550 Organization (Entity Type 2)

Cd Orem Llc

Dentist - General Practice • Orem, UT

About Cd Orem Llc NPI 1558714550 Summary

Cd Orem Llc is a verified healthcare organization specializing in Dentist - General Practice operating in Orem, UT. Located at 1221 S 1840 W, this facility provides patient care and medical services under National Provider Identifier (NPI) 1558714550.

Administrative operations and authorized compliance are overseen by Robert Magness (Manager).

Facility Location & Contact Primary Location

Facility Address

1221 S 1840 W

Orem, UT 840585978

Telephone 8013101916

Authorized Official Information

Authorized Contact Name

Robert Magness , DDS

Title / Role

Manager

Official Telephone

8013101916

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 14, 2016

Registered at 1221 S 1840 W, OREM, UT 840585978 (Tel: 8013101916)

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Updated Business Mailing Address July 14, 2016

Registered at 1221 S 1840 W, OREM, UT 840585978 (Tel: 8013101916)

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Organization / Clinic Name Updated July 14, 2016

Operating as CD OREM LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Dentist (License #4936951 in UT)

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Initial NPI Registration & Enumeration July 14, 2016

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1558714550
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 14, 2016
Last Update: July 14, 2016

Mailing Address

1221 S 1840 W

Orem, UT 840585978

Phone: 8013101916

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.