BONNEVILLE PREVENTIVE DENTISTRY PLLC
NPI 1255776431
Clinic/Center - Dental in Ogden, UT

Q: What is Bonneville Preventive Dentistry PLLC's NPI number?

The NPI number for Bonneville Preventive Dentistry PLLC is 1255776431. It was assigned to this organization in the NPPES registry on May 1, 2013.

Q: What is Bonneville Preventive Dentistry PLLC's specialty?

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

Active since May 01, 2013

3860 JACKSON AVE, SUITE 6, OGDEN, UT 84403(801) 627-0420 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bonneville Preventive Dentistry Pllc NPPES

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

BONNEVILLE PREVENTIVE DENTISTRY PLLC (NPI 1255776431) is a healthcare organization registered as a dental in Ogden, Utah and active in the NPI registry since May 2013. The organization lists Matthew Wolpert, Director, as its authorized official.

NPPES Registry Identity

NPI1255776431

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameBONNEVILLE PREVENTIVE DENTISTRY PLLC

Location Address3860 JACKSON AVE, SUITE 6Ogden, UT 84403-1956

Mailing Address3860 Jackson Ave, Suite 6Ogden, UT 84403-1956 · (801) 627-0420

Phone(801) 627-0420

Organization SubpartNo

Authorized OfficialMatthew WolpertDirector · (801) 627-0420

Enumeration DateMay 1, 2013

✔ NPI 1255776431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in UT · 8289908

3860 JACKSON AVE, Ogden, UT 84403

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Other Providers at the Same Location NPPES 4

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

DR. MATTHEW WENDALL MALAN DMD

Dentist (General Practice)

3860 JACKSON AVE, SUITE 4
OGDEN, UT 84403

Weber County (801) 627-0410

MALAN DENTAL PC

Dentist

3860 JACKSON AVE, STE 5
OGDEN, UT 84403

Weber County (801) 394-3767

DR. E JUDD WEST JR. DDS

Dentist (General Practice)

3860 JACKSON AVE, SUITE 6
OGDEN, UT 84403

Weber County (801) 627-0420

E JUDD WEST DDS

Dentist (General Practice)

3860 JACKSON AVE, SUITE 6
OGDEN, UT 84403

Weber County (801) 627-0420

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 Bonneville Preventive Dentistry PLLC's NPI number?

The NPI number for Bonneville Preventive Dentistry PLLC is 1255776431. It was assigned to this organization in the NPPES registry on May 1, 2013.

Where is Bonneville Preventive Dentistry PLLC located?

Bonneville Preventive Dentistry PLLC is located at 3860 Jackson Ave Suite 6, Ogden, UT 84403. The listed phone number is (801) 627-0420.

What is Bonneville Preventive Dentistry PLLC'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 Bonneville Preventive Dentistry PLLC was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.