LAKE MOUNTAIN DENTAL EAGLE MOUNTAIN LLC
NPI 1518641083
Dentist - General Practice in Eagle Mountain, UT

Active since June 14, 2023
4342 E PONY EXPRESS PKWY STE 100, EAGLE MOUNTAIN, UT 84005(801) 830-4486 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lake Mountain Dental Eagle Mountain Llc NPPES

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

LAKE MOUNTAIN DENTAL EAGLE MOUNTAIN LLC (NPI 1518641083), doing business as Lake Mountain Dental, is a healthcare organization registered as a general practice in Eagle Mountain, Utah and active in the NPI registry since June 2023. The organization lists Caden Caden, Admin, as its authorized official.

NPPES Registry Identity

NPI1518641083
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE MOUNTAIN DENTAL EAGLE MOUNTAIN LLC
Location Address4342 E PONY EXPRESS PKWY STE 100Eagle Mountain, UT 84005-5773
Mailing Address4342 E Pony Express Pkwy Ste 100Eagle Mountain, UT 84005-5773
Organization SubpartNo
Authorized OfficialCaden CadenAdmin · (801) 830-4486
Enumeration DateJune 14, 2023
NPPES CertifiedJune 13, 2023
NPI 1518641083 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.
4342 E PONY EXPRESS PKWY STE 100, Eagle Mountain, UT 84005

Other Names 1

Doing Business AsLake Mountain 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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
4342 E PONY EXPRESS PKWY STE 100
EAGLE MOUNTAIN, UT 84005
Dentist
4342 E PONY EXPRESS PKWY STE 100
EAGLE MOUNTAIN, UT 84005

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 Lake Mountain Dental Eagle Mountain LLC's NPI number?

The NPI number for Lake Mountain Dental Eagle Mountain LLC is 1518641083. It was assigned to this organization in the NPPES registry on June 14, 2023. The provider is doing business as Lake Mountain Dental.

Where is Lake Mountain Dental Eagle Mountain LLC located?

Lake Mountain Dental Eagle Mountain LLC is located at 4342 E Pony Express Pkwy Ste 100, Eagle Mountain, UT 84005. The listed phone number is (801) 830-4486.

What is Lake Mountain Dental Eagle Mountain LLC'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 Lake Mountain Dental Eagle Mountain LLC was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.