NPI
Isabella Reese Augustine
NPI 1053119735
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- DMD
- Type
- Individual
- Enumeration date
- 2025-03-06
- Last updated
- 2026-06-29
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Specialties
Licenses
- License UT
- 14292042-9926
Location
- Practice location
- 49 W Center St
- City
- Midvale UT
- Postal code
- 84047-7364
- Phone
- (385) 887-9002
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Dentists in Midvale, UT. 29 with this primary taxonomy in the public file.
Other NPIs in Midvale, UT. 896 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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