SALT LAKE PEDIATRIC DENTISTRY
NPI 1538577655
Dentist in Salt Lake City, UT

Q: What is Salt Lake Pediatric Dentistry's NPI number?

The NPI number for Salt Lake Pediatric Dentistry is 1538577655. It was assigned to this organization in the NPPES registry on August 1, 2014.

Q: What is Salt Lake Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 01, 2014

1548 E 4500 S STE 102, SALT LAKE CITY, UT 84117(801) 463-1900 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Salt Lake Pediatric Dentistry NPPES

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

SALT LAKE PEDIATRIC DENTISTRY (NPI 1538577655) is a healthcare organization registered as a dentist in Salt Lake City, Utah and active in the NPI registry since August 2014. The organization lists Jeffrey Rupp, Owner, as its authorized official.

NPPES Registry Identity

NPI1538577655

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSALT LAKE PEDIATRIC DENTISTRY

Location Address1548 E 4500 S STE 102Salt Lake City, UT 84117-5209

Mailing Address1548 E 4500 S Ste 102Salt Lake City, UT 84117-5209

Phone(801) 463-1900

Organization SubpartNo

Authorized OfficialJeffrey RuppOwner · (801) 463-1900

Enumeration DateAugust 1, 2014

✔ NPI 1538577655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in UT · 6273877✔ Licensed in UT · 7348465

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.

1548 E 4500 S STE 102, Salt Lake City, UT 84117

Open in Google Maps ↗

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 MULTIPLE SINGLE 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 Salt Lake Pediatric Dentistry's NPI number?

The NPI number for Salt Lake Pediatric Dentistry is 1538577655. It was assigned to this organization in the NPPES registry on August 1, 2014.

Where is Salt Lake Pediatric Dentistry located?

Salt Lake Pediatric Dentistry is located at 1548 E 4500 S Ste 102, Salt Lake City, UT 84117. The listed phone number is (801) 463-1900.

What is Salt Lake Pediatric Dentistry'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 Salt Lake Pediatric Dentistry was last updated on August 1, 2014. 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.