Ostheller Family Denitstry
Clinic/Center, Dental in Lehi, UT. Organization (NPI-2).
NPI number1104036763
StatusActive
Last updated in NPPESJan 22, 2008
Details
- NPI
- 1104036763
- Entity type
- Organization (NPI-2)
- Legal business name
- Ostheller Family Denitstry
- Organization subpart
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jan 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2787109922 | UT | Yes |
Practice location
1530 N State StLehi, UT 84043
Phone 801-770-2836 · Fax 801-770-3103
Mailing address
1530 N State St Unit ALehi, UT 84043-2905
Phone 801-770-2836 · Fax 801-770-3103
Authorized official
Joseph Ostheller
Owner
8017702836
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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