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PARK CITY PEDIATRIC DENTISTRY
NPI 1558516161
Dentist - Pediatric Dentistry in Park City, UT

Active since November 24, 2008
1830 PROSPECTOR AVE, PARK CITY, UT 84060(801) 661-8470 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 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 1558516161) is a healthcare organization registered as a pediatric dentistry in Park City, Utah and active in the NPI registry since November 2008. The organization lists Tina Cochran, Company Coordinator, as its authorized official.

NPPES Registry Identity

NPI1558516161
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePARK CITY PEDIATRIC DENTISTRY
Location Address1830 PROSPECTOR AVEPark City, UT 84060-7319
Mailing Address1830 Prospector AvePark City, UT 84060-7319 · (801) 661-8470
Phone(801) 661-8470
Organization SubpartNo
Authorized OfficialTina CochranCompany Coordinator · (801) 553-8882
Enumeration DateNovember 24, 2008
✔ NPI 1558516161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1830 PROSPECTOR AVE, Park City, UT 84060
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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 5

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

GABRIELLE GRISONI
Dentist
1830 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 649-6066
MARC B MCKEE
Dentist
1830 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 649-6066
LATECIA MUSE MILLER DDS
Dentist (General Practice)
1830 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (801) 231-1295
DR. BRIAN CRAIG ANDERSON D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1830 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 649-6959
PARK CITY DENTAL ASSOCIATES LLC
Clinic/Center (Dental)
1830 PROSPECTOR AVE
PARK CITY, UT 84060
Summit County (435) 649-6066

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 1558516161. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Park City Pediatric Dentistry located?

Park City Pediatric Dentistry is located at 1830 Prospector Ave, Park City, UT 84060. The listed phone number is (801) 661-8470.

What is Park City Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Park City Pediatric Dentistry was last updated on November 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.