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EASTGATE PEDIATRIC DENTISTRY
NPI 1629499520
Clinic/Center - Dental in Slc, UT

Active since December 18, 2013
1580 E 3900 S, SUITE #110, SLC, UT 84124(801) 272-8555 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastgate Pediatric Dentistry NPPES

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

EASTGATE PEDIATRIC DENTISTRY (NPI 1629499520) is a healthcare organization registered as a dental in Slc, Utah and active in the NPI registry since December 2013. The organization lists Marci Nicol, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629499520
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEASTGATE PEDIATRIC DENTISTRY
Location Address1580 E 3900 S, SUITE #110Slc, UT 84124-1581
Mailing Address1580 E 3900 S, Suite #110Slc, UT 84124-1581 · (801) 272-8555
Phone(801) 272-8555
Organization SubpartNo
Authorized OfficialMarci NicolVp Of Operations · (801) 918-4135
Enumeration DateDecember 18, 2013
✔ NPI 1629499520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1580 E 3900 S, Slc, UT 84124
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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 Eastgate Pediatric Dentistry's NPI number?

The NPI number for Eastgate Pediatric Dentistry is 1629499520. It was assigned to this organization in the NPPES registry on December 18, 2013.

Where is Eastgate Pediatric Dentistry located?

Eastgate Pediatric Dentistry is located at 1580 E 3900 S Suite #110, Slc, UT 84124. The listed phone number is (801) 272-8555.

What is Eastgate Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eastgate Pediatric Dentistry was last updated on December 18, 2013. 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.