SALT LAKE ENDODONTICS
NPI 1568612133
Dentist - Endodontics in Salt Lake City, UT

Active since September 19, 2008
1955 S 1300 E STE 6, SALT LAKE CITY, UT 84105(801) 487-0758(801) 487-0750 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salt Lake Endodontics NPPES

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

SALT LAKE ENDODONTICS (NPI 1568612133) is a healthcare organization registered as an endodontics in Salt Lake City, Utah and active in the NPI registry since September 2008. The organization lists Mitchell G Rudd, Presidient, as its authorized official.

NPPES Registry Identity

NPI1568612133
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSALT LAKE ENDODONTICS
Location Address1955 S 1300 E STE 6Salt Lake City, UT 84105-3684
Mailing Address1955 S 1300 E Ste 6Salt Lake City, UT 84105-3684 · (801) 487-0758 · Fax (801) 487-0750
Fax(801) 487-0750
Organization SubpartNo
Authorized OfficialMitchell G RuddPresidient · (801) 487-0758
Enumeration DateSeptember 19, 2008
NPI 1568612133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in UT · 5328713-9922
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1955 S 1300 E STE 6, Salt Lake City, UT 84105

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

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

Dentist (Endodontics)
1955 S 1300 E STE 6
SALT LAKE CITY, UT 84105

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 Endodontics's NPI number?

The NPI number for Salt Lake Endodontics is 1568612133. It was assigned to this organization in the NPPES registry on September 19, 2008.

Where is Salt Lake Endodontics located?

Salt Lake Endodontics is located at 1955 S 1300 E Ste 6, Salt Lake City, UT 84105. The listed phone number is (801) 487-0758.

What is Salt Lake Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Salt Lake Endodontics was last updated on September 19, 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.