Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548330004 Individual Practitioner Male Practitioner

Dr. Robert Wade Ferrell , DMD, MS

Dentist - Periodontics • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ferrell, DMD, MS is a registered healthcare professional specializing in Dentist - Periodontics in Provo, UT. Practice services are available at 619 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

619 N 500 W

Provo, UT 846011547

Telephone 8013748002
Associated Practice Facility / Clinic
🏢 The Journey Facility NPI 1245558378

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Provo, UT (45 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-14
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License UT 350703

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Dentist - Periodontics

NUCC Taxonomy Code: 1223P0300X

State License NV S4-138C

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Practice Locations

280 Vista Knoll Pkwy Ste 114

Reno, NV 895065649

Phone: 7759719282

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rod Bridge , DDSPERIODONTIST

Dentist - Periodontics

NPI 1174741227
Dr. Ryan Edmunds , DDS

Dentist - Periodontics

NPI 1467636688

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 14, 2025

Registered at 619 N 500 W, PROVO, UT 846011547 (Tel: 8013748002)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1508 E SKYLINE DR, SUITE #300, OGDEN, UT 844054846 (Tel: 8013349258)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1508 E SKYLINE DR, SUITE #300, OGDEN, UT 844054846 (Tel: 8013349258)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT FERRELL, DMD, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #350703 in UT)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548330004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: November 14, 2025
Sole Proprietor: No

Mailing Address

1508 E Skyline Dr, Suite #300

Ogden, UT 844054846

Phone: 8013349258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.