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PARK CITY PEDIATRIC DENTISTRY
NPI 1508287475
Clinic/Center - Dental in Park City, UT

Active since December 19, 2013
1901 PROSPECTOR AVE, PARK CITY, UT 84060(435) 649-5001 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Park City Pediatric Dentistry NPPES

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

PARK CITY PEDIATRIC DENTISTRY (NPI 1508287475) is a healthcare organization registered as a dental in Park City, Utah and active in the NPI registry since December 2013. The organization lists Marci Nicol, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1508287475
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePARK CITY PEDIATRIC DENTISTRY
Location Address1901 PROSPECTOR AVEPark City, UT 84060-7207
Mailing Address1901 Prospector AvePark City, UT 84060-7207 · (435) 649-5001
Phone(435) 649-5001
Organization SubpartNo
Authorized OfficialMarci NicolVp Of Operations · (801) 918-4135
Enumeration DateDecember 19, 2013
✔ NPI 1508287475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1901 PROSPECTOR AVE, Park City, UT 84060
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Other Providers at the Same Location NPPES 6

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

MR. SIMON SCOTT KIMCHE DDS
Dentist
1901 PROSPECTOR AVE, SUITE 26
PARK CITY, UT 84060
Summit County (435) 645-8500
ABIGAIL SMALLEY
Social Worker
1901 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (385) 313-0555
NATHAN JEREMY BLACK DC
Chiropractor
1901 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 649-1542
DR. ALEXANDER H HASKELL ND
Naturopath
1901 PROSPECTOR AVE, STE. 30
PARK CITY, UT 84060
Summit County (435) 658-0500
PAUL G. INNIS D.M.D.
Dentist (General Practice)
1901 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 649-6332
JARED ALSTON LCMHC
Counselor (Mental Health)
1901 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 395-9494

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 Park City Pediatric Dentistry's NPI number?

The NPI number for Park City Pediatric Dentistry is 1508287475. It was assigned to this organization in the NPPES registry on December 19, 2013.

Where is Park City Pediatric Dentistry located?

Park City Pediatric Dentistry is located at 1901 Prospector Ave, Park City, UT 84060. The listed phone number is (435) 649-5001.

What is Park City Pediatric Dentistry'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 Park City Pediatric Dentistry was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.