Provider Demographics
NPI:1215482922
Name:APEX ORTHODONTICS CLEARFIELD, LLC
Entity type:Organization
Organization Name:APEX ORTHODONTICS CLEARFIELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-566-8833
Mailing Address - Street 1:PO BOX 708130
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-8130
Mailing Address - Country:US
Mailing Address - Phone:801-566-8833
Mailing Address - Fax:801-938-9479
Practice Address - Street 1:794 E 700 S
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1204
Practice Address - Country:US
Practice Address - Phone:801-566-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT59254571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty