MAIN STREET DENTAL OF SALT LAKE CITY
NPI 1245607068
Point of Service in Salt Lake City, UT

Q: What is Main Street Dental Of Salt Lake City's NPI number?

The NPI number for Main Street Dental Of Salt Lake City is 1245607068. It was assigned to this organization in the NPPES registry on August 27, 2015.

Q: What is Main Street Dental Of Salt Lake City's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since August 27, 2015

3195 S MAIN ST STE 201, SALT LAKE CITY, UT 84115(801) 792-6033 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Main Street Dental Of Salt Lake City NPPES

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

MAIN STREET DENTAL OF SALT LAKE CITY (NPI 1245607068) is a healthcare organization registered as a point of service in Salt Lake City, Utah and active in the NPI registry since August 2015. The organization lists Jennifer D Wilson, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1245607068

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameMAIN STREET DENTAL OF SALT LAKE CITY

Location Address3195 S MAIN ST STE 201Salt Lake City, UT 84115-3749

Mailing Address7922 S Goldenpointe WayWest Jordan, UT 84088-7672 · (801) 792-6033

Phone(801) 792-6033

Organization SubpartNo

Authorized OfficialJennifer D WilsonManager/owner · (801) 792-6033

Enumeration DateAugust 27, 2015

✔ NPI 1245607068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3195 S MAIN ST STE 201, Salt Lake City, UT 84115

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Other Names 1

Former Legal Business NameMain Street Dental Of Salt Lake City

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Main Street Dental Of Salt Lake City's NPI number?

The NPI number for Main Street Dental Of Salt Lake City is 1245607068. It was assigned to this organization in the NPPES registry on August 27, 2015.

Where is Main Street Dental Of Salt Lake City located?

Main Street Dental Of Salt Lake City is located at 3195 S Main St Ste 201, Salt Lake City, UT 84115. The listed phone number is (801) 792-6033.

What is Main Street Dental Of Salt Lake City's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

What insurance does Main Street Dental Of Salt Lake City accept?

Health plans from UnitedHealthcare list Main Street Dental Of Salt Lake City as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Dental Of Salt Lake City was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.