OUT OF THIS WORLD DENTISTRY
NPI 1558760959
Dentist - Pediatric Dentistry in Draper, UT

Active since August 21, 2014
112 E 12450 S STE 100, DRAPER, UT 84020(801) 571-6751(801) 571-4156 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Out Of This World Dentistry NPPES

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

OUT OF THIS WORLD DENTISTRY (NPI 1558760959) is a healthcare organization registered as a pediatric dentistry in Draper, Utah and active in the NPI registry since August 2014. The organization lists Dannielle Stark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558760959
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameOUT OF THIS WORLD DENTISTRY PC
Location Address112 E 12450 S STE 100Draper, UT 84020-8057
Mailing Address112 E 12450 S Ste 100Draper, UT 84020-8057 · (801) 571-6751 · Fax (801) 571-4156
Fax(801) 571-4156
Organization SubpartNo
Authorized OfficialDannielle StarkOffice Manager · (801) 898-7502
Enumeration DateAugust 21, 2014
NPI 1558760959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in UT · 144937
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.
112 E 12450 S STE 100, Draper, UT 84020

Other Names 1

Doing Business AsOut Of This World Dentistry

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 Out Of This World Dentistry PC's NPI number?

The NPI number for Out Of This World Dentistry PC is 1558760959. It was assigned to this organization in the NPPES registry on August 21, 2014. The provider is doing business as Out Of This World Dentistry.

Where is Out Of This World Dentistry PC located?

Out Of This World Dentistry PC is located at 112 E 12450 S Ste 100, Draper, UT 84020. The listed phone number is (801) 571-6751.

What is Out Of This World Dentistry PC'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 Out Of This World Dentistry PC was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.