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PROFESSIONAL DENTAL WEST VALLEY LLC
NPI 1457133779
Clinic/Center - Dental in West Valley, UT

Active since October 20, 2023
3601 S 2700 W, WEST VALLEY, UT 84119(801) 785-8000(801) 785-4030 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2024, Oct 20, 2023 (2 updates tracked since 2023).

About Professional Dental West Valley Llc NPPES

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

PROFESSIONAL DENTAL WEST VALLEY LLC (NPI 1457133779) is a healthcare organization registered as a dental in West Valley, Utah and active in the NPI registry since October 2023. The organization lists Robert D Hack, Owner, as its authorized official.

NPPES Registry Identity

NPI1457133779
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL WEST VALLEY LLC
Location Address3601 S 2700 WWest Valley, UT 84119-3746
Mailing AddressPo Box 1806Orem, UT 84059-1806 · (801) 785-8000 · Fax (801) 785-4030
Phone(801) 785-8000
Fax(801) 785-4030
Organization SubpartNo
Authorized OfficialRobert D HackOwner · (801) 636-0110
Enumeration DateOctober 20, 2023
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1457133779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X
Also ListedDental HygienistTaxonomy 124Q00000X
3601 S 2700 W, West Valley, UT 84119
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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 Professional Dental West Valley LLC's NPI number?

The NPI number for Professional Dental West Valley LLC is 1457133779. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Professional Dental West Valley LLC located?

Professional Dental West Valley LLC is located at 3601 S 2700 W, West Valley, UT 84119. The listed phone number is (801) 785-8000.

What is Professional Dental West Valley LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Professional Dental West Valley LLC was last updated on February 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.