Healthcare Provider Details

I. General information

NPI: 1558291112
Provider Name (Legal Business Name): BINGHAM DENTAL SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 HARRISON BLVD
OGDEN UT
84403-3195
US

IV. Provider business mailing address

1690 N WASHINGTON BLVD STE 1
OGDEN UT
84404-3348
US

V. Phone/Fax

Practice location:
  • Phone: 801-906-1969
  • Fax:
Mailing address:
  • Phone: 801-906-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ROBERT BINGHAM
Title or Position: DENTIST
Credential: DMD
Phone: 801-906-1969