1. Home
  2. Directory
  3. NPI Profile

OTR DENTAL PLLC
NPI 1285212589
Dentist in Salt Lake City, UTAH

Active since March 30, 2021
1953 WEST CALIFORNIA AVE, SALT LAKE CITY, UTAH 84104(801) 886-9341(801) 886-1786 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Otr Dental Pllc NPPES

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

OTR DENTAL PLLC (NPI 1285212589) is a healthcare organization registered as a dentist in Salt Lake City, UTAH and active in the NPI registry since March 2021. The organization lists Vanessa N Tovar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285212589
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOTR DENTAL PLLC
Location Address1953 WEST CALIFORNIA AVESalt Lake City, UTAH 84104
Mailing AddressPo Box 271069Salt Lake City, UT 84127-1069 · (801) 886-9341 · Fax (801) 886-1786
Phone(801) 886-9341
Fax(801) 886-1786
Organization SubpartNo
Authorized OfficialVanessa N TovarOffice Manager · (801) 886-9341
Enumeration DateMarch 30, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1285212589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1953 WEST CALIFORNIA AVE, Salt Lake City, UTAH 84104
Open in Google Maps ↗

Other Identifiers 1

Other1962671495UT · Npi

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

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 Otr Dental PLLC's NPI number?

The NPI number for Otr Dental PLLC is 1285212589. It was assigned to this organization in the NPPES registry on March 30, 2021.

Where is Otr Dental PLLC located?

Otr Dental PLLC is located at 1953 West California Ave, Salt Lake City, UTAH 84104. The listed phone number is (801) 886-9341.

What is Otr Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Otr Dental PLLC was last updated on March 30, 2021. 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.