PLATINUM DENTAL CARE-PROVIDENCE
NPI 1598390494
Dentist in Providence, UT

Q: What is Providence Pdc PLLC's NPI number?

The NPI number for Providence Pdc PLLC is 1598390494. It was assigned to this organization in the NPPES registry on March 11, 2020. The provider is doing business as Platinum Dental Care-Providence.

Q: What is Providence Pdc PLLC's specialty?

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

Active since March 11, 2020

169 N GATEWAY DR, SUITE #105, PROVIDENCE, UT 84332(435) 610-2474 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Platinum Dental Care-providence NPPES

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

PLATINUM DENTAL CARE-PROVIDENCE (NPI 1598390494) is a healthcare organization registered as a dentist in Providence, Utah and active in the NPI registry since March 2020. The organization lists Jacob Warner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1598390494

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROVIDENCE PDC PLLC

Location Address169 N GATEWAY DR, SUITE #105Providence, UT 84332-9861

Mailing AddressPo Box 970238Orem, UT 84097-0309 · (801) 691-1701 · Fax (801) 335-6551

Phone(435) 610-2474

Organization SubpartNo

Authorized OfficialJacob WarnerCredentialing Manager · (801) 691-1701

Enumeration DateMarch 11, 2020

NPPES CertifiedMarch 11, 2020

✔ NPI 1598390494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

169 N GATEWAY DR, Providence, UT 84332

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Other Names 1

Doing Business AsPlatinum Dental Care-providence

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

ALEXANDER NATHAN GERBER PA-C

Physician Assistant

169 N GATEWAY DR
PROVIDENCE, UT 84332

Cache County (435) 565-6043

BRENAN R GODFREY RBT

Marriage & Family Therapist

169 N GATEWAY DR
PROVIDENCE, UT 84332

Cache County (435) 915-6927

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 Providence Pdc PLLC's NPI number?

The NPI number for Providence Pdc PLLC is 1598390494. It was assigned to this organization in the NPPES registry on March 11, 2020. The provider is doing business as Platinum Dental Care-Providence.

Where is Providence Pdc PLLC located?

Providence Pdc PLLC is located at 169 N Gateway Dr Suite #105, Providence, UT 84332. The listed phone number is (435) 610-2474.

What is Providence Pdc PLLC's specialty?

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

What insurance does Providence Pdc PLLC accept?

Health plans from UnitedHealthcare list Providence Pdc PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Pdc PLLC was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.