DIEDERICH DMD, PLLC
NPI 1417839515
Dentist in Draper, UT

Active since July 22, 2025
668 E 12225 S STE 101, DRAPER, UT 84020(801) 762-8920 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diederich Dmd, Pllc NPPES

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

DIEDERICH DMD, PLLC (NPI 1417839515) is a healthcare organization registered as a dentist in Draper, Utah and active in the NPI registry since July 2025. The organization lists Nik Diederich, Owner, as its authorized official.

NPPES Registry Identity

NPI1417839515
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDIEDERICH DMD, PLLC
Location Address668 E 12225 S STE 101Draper, UT 84020-7310
Mailing Address668 E 12225 S Ste 101Draper, UT 84020-7310 · (801) 762-8920
Organization SubpartNo
Authorized OfficialNik DiederichOwner · (801) 931-8322
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1417839515 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.
668 E 12225 S STE 101, Draper, UT 84020

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

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

Dentist
668 E 12225 S STE 101
DRAPER, UT 84020

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 Diederich Dmd, PLLC's NPI number?

The NPI number for Diederich Dmd, PLLC is 1417839515. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Diederich Dmd, PLLC located?

Diederich Dmd, PLLC is located at 668 E 12225 S Ste 101, Draper, UT 84020. The listed phone number is (801) 762-8920.

What is Diederich Dmd, 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 Diederich Dmd, PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.