MONARCH DENTAL - RIVERDALE
NPI 1336404763
Dentist - General Practice in Ogden, UT

Active since July 11, 2012
1140 W RIVERDALE RD, SUITE D, OGDEN, UT 84405(801) 917-1502(801) 436-3222 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Aug 21, 2019 (2 updates tracked since 2019).

About Monarch Dental - Riverdale NPPES

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

MONARCH DENTAL - RIVERDALE (NPI 1336404763) is a healthcare organization registered as a general practice in Ogden, Utah and active in the NPI registry since July 2012. The organization lists Liliana Martinez, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1336404763
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS UTAH, PC
Location Address1140 W RIVERDALE RD, SUITE DOgden, UT 84405-3787
Mailing Address8415 Datapoint Dr Ste 1020San Antonio, TX 78229-3277 · (210) 929-2814 · Fax (210) 615-3626
Fax(801) 436-3222
Organization SubpartNo
Authorized OfficialLiliana MartinezCredentialing Director · (949) 308-9792
Enumeration DateJuly 11, 2012
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1336404763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1140 W RIVERDALE RD, Ogden, UT 84405

Other Names 1

Doing Business AsMonarch Dental - Riverdale

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Modern Dental Professionals Utah, PC's NPI number?

The NPI number for Modern Dental Professionals Utah, PC is 1336404763. It was assigned to this organization in the NPPES registry on July 11, 2012. The provider is doing business as Monarch Dental - Riverdale.

Where is Modern Dental Professionals Utah, PC located?

Modern Dental Professionals Utah, PC is located at 1140 W Riverdale Rd Suite D, Ogden, UT 84405. The listed phone number is (801) 917-1502.

What is Modern Dental Professionals Utah, PC'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 Modern Dental Professionals Utah, PC was last updated on April 8, 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.