UTAH DENTAL PROVIDERS
NPI 1104903152
Dentist - General Practice in Salt Lake City, UT

Q: What is Utah Dental Providers's NPI number?

The NPI number for Utah Dental Providers is 1104903152. It was assigned to this organization in the NPPES registry on November 1, 2006.

Q: What is Utah Dental Providers's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 01, 2006

1909 W 4700 S, SALT LAKE CITY, UT 84118(801) 968-9548 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Utah Dental Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UTAH DENTAL PROVIDERS (NPI 1104903152) is a healthcare organization registered as a general practice in Salt Lake City, Utah and active in the NPI registry since November 2006. The organization lists John Everett Ballard, Cio, as its authorized official.

NPPES Registry Identity

NPI1104903152

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameUTAH DENTAL PROVIDERS

Location Address1909 W 4700 SSalt Lake City, UT 84118-1105

Mailing Address4100 Mcewen Rd, Suite 110Dallas, TX 75244-5113 · (972) 755-0800

Phone(801) 968-9548

Organization SubpartNo

Authorized OfficialJohn Everett BallardCio · (972) 755-0800

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104903152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 18458

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1909 W 4700 S, Salt Lake City, UT 84118

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COPPERVIEW DENTAL

Clinic/Center (Dental)

1909 W 4700 S
TAYLORSVILLE, UT 84118

Salt Lake County (801) 398-9548

DR. JOSEPH SAMUEL MAIO D.D.S

Dentist

1909 W 4700 S
TAYLORSVILLE, UT 84118

Salt Lake County (801) 968-9548

SHERI FERGUSON

Dental Hygienist

1909 W 4700 S
TAYLORSVILLE, UT 84118

Salt Lake County (801) 968-9548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Utah Dental Providers's NPI number?

The NPI number for Utah Dental Providers is 1104903152. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Utah Dental Providers located?

Utah Dental Providers is located at 1909 W 4700 S, Salt Lake City, UT 84118. The listed phone number is (801) 968-9548.

What is Utah Dental Providers's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Utah Dental Providers was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.