KCKG
NPI 1386434280
Dentist - General Practice in Salt Lake City, UT

Q: What is Kckg's NPI number?

The NPI number for Kckg is 1386434280. It was assigned to this organization in the NPPES registry on May 12, 2025.

Q: What is Kckg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kckg was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 12, 2025

620 E 2100 S, SALT LAKE CITY, UT 84106(801) 671-6359 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kckg NPPES

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

KCKG (NPI 1386434280) is a healthcare organization registered as a general practice in Salt Lake City, Utah and active in the NPI registry since May 2025. The organization lists Kirkalnd Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1386434280

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKCKG

Location Address620 E 2100 SSalt Lake City, UT 84106-1828

Mailing Address620 E 2100 SSalt Lake City, UT 84106-1828 · (801) 671-6359

Phone(801) 671-6359

Organization SubpartNo

Authorized OfficialKirkalnd GrahamOwner · (801) 671-6359

Enumeration DateMay 12, 2025

Last NPPES UpdateMay 15, 2025

NPPES CertifiedMay 15, 2025

✔ NPI 1386434280 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.

620 E 2100 S, Salt Lake City, UT 84106

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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

Other Providers at the Same Location NPPES 3

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

DEBBIE LEE GRAHAM DDS

Dentist (Pediatric Dentistry)

620 E 2100 S
SALT LAKE CITY, UT 84106

Salt Lake County (801) 466-6645

DR. KIRKLAND GRAHAM D.D.S.

Dentist (General Practice)

620 E 2100 S
SALT LAKE CITY, UT 84106

Salt Lake County (801) 466-6645

SUGARHOUSE DENTAL INC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

620 E 2100 S
SALT LAKE CITY, UT 84106

Salt Lake County (801) 671-6359

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 Kckg's NPI number?

The NPI number for Kckg is 1386434280. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Kckg located?

Kckg is located at 620 E 2100 S, Salt Lake City, UT 84106. The listed phone number is (801) 671-6359.

What is Kckg'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 Kckg was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.