UNIV. OF UTAH HOSP. PLASTIC SURGERY-DENTAL
NPI 1346633203
Surgery - Plastic and Reconstructive Surgery in Salt Lake City, UT

Active since March 16, 2015
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 213-3900 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2020, Dec 14, 2019 (2 updates tracked since 2019).

About Univ. Of Utah Hosp. Plastic Surgery-dental NPPES

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

UNIV. OF UTAH HOSP. PLASTIC SURGERY-DENTAL (NPI 1346633203) is a healthcare organization registered as a plastic and reconstructive surgery in Salt Lake City, Utah and active in the NPI registry since March 2015. The organization lists Sean Mulvihill, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1346633203
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameUNIVERSITY OF UTAH DENTAL SERVICES
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0100
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900
Organization SubpartYes
Authorized OfficialSean MulvihillChief Medical Officer · (801) 587-6336
Enumeration DateMarch 16, 2015
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1346633203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
50 N MEDICAL DR, Salt Lake City, UT 84132

Other Names 1

Doing Business AsUniv. Of Utah Hosp. Plastic Surgery-dental

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Univ. Of Utah Hosp. Plastic Surgery-dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Univ. Of Utah Hosp. Plastic Surgery-Dental, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 9

Oral Surgery8
Dentist3
Maxillofacial Surgery3
Endodontics1
Oral and Maxillofacial Pathology1
Oral and Maxillofacial Radiology1
Orthodontics and Dentofacial Orthopedics1
Pathology1
1 other specialty1

Clinicians, nearest first (20)

Dentist
NPI 1336734383
50 N MEDICAL DR
Salt Lake City, UT 84132
(828) 587-6453
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1629275151
100 N MEDICAL DR STE 3575
Salt Lake City, UT 84113
(801) 662-3930
✔ PECOS0.1 mi
Oral and Maxillofacial Pathology
NPI 1578149001
530 S WAKARA WAY
Salt Lake City, UT 84108
(801) 631-5779
✔ PECOS✔ Accepts Medicare1.1 mi
Pathology
NPI 1083973002
530 S WAKARA WAY
Salt Lake City, UT 84108
(801) 587-6189
✔ PECOS✔ Accepts Medicare1.1 mi
Oral and Maxillofacial Radiology
NPI 1083691281
530 S WAKARA WAY
Slc, UT 84108
(843) 812-8649
✔ PECOS✔ Accepts Medicare1.1 mi
Dentist
NPI 1144858234
409 W 400 S
Salt Lake City, UT 84101
(801) 364-0058
✔ PECOS3.7 mi
Maxillofacial Surgery
NPI 1467678938
4190 HIGHLAND DR SUITE 112
Salt Lake City, UT 84124
(801) 272-9241
✔ PECOS6.3 mi
Oral Surgery
NPI 1285253112
1377 E 3900 S STE 104
Salt Lake City, UT 84124
(801) 277-3942
✔ PECOS6.7 mi
6364 S HIGHLAND DR SUITE 200
Salt Lake City, UT 84121
(801) 278-9505
✔ PECOS9.4 mi
Maxillofacial Surgery
NPI 1548349251
1508 E SKYLINE DR STE 800
Ogden, UT 84405
(801) 479-8200
✔ PECOS✔ Accepts Medicare27 mi
Oral Surgery
NPI 1811953276
215 S 4TH ST
Montpelier, ID 83254
(208) 847-0153
✔ PECOS110 mi
Orthodontics and Dentofacial Orthopedics
NPI 1952170383
1515 E MISSOURI AVE
Phoenix, AZ 85014
(602) 536-6842
✔ PECOS500 mi
Maxillofacial Surgery
NPI 1831282755
1111 E HERNDON AVE STE 119
Fresno, CA 93720
(559) 431-4220
✔ PECOS✔ Accepts Medicare503 mi
Oral Surgery
NPI 1689980575
1800 BRYANT ST STE 309
San Francisco, CA 94110
(415) 373-6783
✔ PECOS603 mi
Oral Surgery
NPI 1154928943
3550 HULEN ST STE C
Fort Worth, TX 76107
(817) 476-3503
✔ PECOS973 mi
Periodontics
NPI 1770716607
1121 W MICHIGAN STREET DS307B
Indianapolis, IN 46202
(317) 278-3632
✔ PECOS1,355 mi
Oral Surgery
NPI 1023009669
1005 DB TODD JR BLVD MEHARRY MEDICAL COLLEGE
Nashville, TN 37208
(615) 327-6207
✔ PECOS1,389 mi
Endodontics
NPI 1073583100
DEPT OF THE ARMY, DENTAL ACTIVITY, STOP B 2817 REILLY RD, MCDS-NA-B
Fort Bragg, NC 28310
(910) 396-5610
✔ PECOS1,835 mi
Oral Surgery
NPI 1659454155
171 ASHLEY AVE
Charleston, SC 29425
(843) 792-1414
✔ PECOS✔ Accepts Medicare1,841 mi
Oral Surgery
NPI 1629557012
55 FRUIT ST., WANG AMBULATORY BLDG SUITE230
Boston, MA 02114
(617) 726-2740
✔ PECOS✔ Accepts Medicare2,096 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 University Of Utah Dental Services's NPI number?

The NPI number for University Of Utah Dental Services is 1346633203. It was assigned to this organization in the NPPES registry on March 16, 2015. The provider is doing business as Univ. Of Utah Hosp. Plastic Surgery-Dental.

Where is University Of Utah Dental Services located?

University Of Utah Dental Services is located at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 213-3900.

What is University Of Utah Dental Services's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is University Of Utah Dental Services enrolled in Medicare?

Yes. University Of Utah Dental Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Utah Dental Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 9 Medicare specialties reassign their Medicare billing to University Of Utah Dental Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (8), Dentist (3) and Maxillofacial Surgery (3). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Of Utah Dental Services accept?

Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Regence BlueCross BlueShield of Utah list University Of Utah Dental Services 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 University Of Utah Dental Services was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.