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PROFESSIONAL DENTAL SLC LLC
NPI 1235977240
Clinic/Center - Dental in Salt Lake City, UT

Active since July 16, 2024
1632 W 700 N STE A-1, SALT LAKE CITY, UT 84116(801) 785-8000(801) 785-4030 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Slc Llc NPPES

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

PROFESSIONAL DENTAL SLC LLC (NPI 1235977240) is a healthcare organization registered as a dental in Salt Lake City, Utah and active in the NPI registry since July 2024. The organization lists Robert D Hack, Owner, as its authorized official.

NPPES Registry Identity

NPI1235977240
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL SLC LLC
Location Address1632 W 700 N STE A-1Salt Lake City, UT 84116-1903
Mailing AddressPo Box 1806Orem, UT 84059-1806 · (801) 785-8000 · Fax (801) 785-4030
Phone(801) 785-8000
Fax(801) 785-4030
Organization SubpartNo
Authorized OfficialRobert D HackOwner · (801) 636-0110
Enumeration DateJuly 16, 2024
Last NPPES UpdateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
✔ NPI 1235977240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1632 W 700 N STE A-1, Salt Lake City, UT 84116
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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 Professional Dental Slc LLC's NPI number?

The NPI number for Professional Dental Slc LLC is 1235977240. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Professional Dental Slc LLC located?

Professional Dental Slc LLC is located at 1632 W 700 N Ste A-1, Salt Lake City, UT 84116. The listed phone number is (801) 785-8000.

What is Professional Dental Slc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Professional Dental Slc LLC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.