Healthcare Provider Details

I. General information

NPI: 1740198712
Provider Name (Legal Business Name): BRIAN D RIGBY DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 E 100 S STE 100
CENTERVILLE UT
84014-2293
US

IV. Provider business mailing address

44 E 100 S STE 100
CENTERVILLE UT
84014-2293
US

V. Phone/Fax

Practice location:
  • Phone: 801-295-6955
  • Fax:
Mailing address:
  • Phone: 801-295-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIAN RIGBY
Title or Position: DENTIST
Credential: DMD
Phone: 801-295-6955