DR. JEFFREY D. CONNOLLY DDS
NPI 1700959186
Dentist - General Practice in Salt Lake City, UT

Q: What is Jeffrey Connolly's NPI number?

The NPI number for Jeffrey Connolly is 1700959186. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Jeffrey Connolly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Connolly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 15, 2006PECOS Enrolled

1963 E 2700 S, SALT LAKE CITY, UT 84106(801) 467-4747 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jeffrey D. Connolly Dds NPPES

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

DR. JEFFREY D. CONNOLLY DDS (NPI 1700959186) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (375457) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700959186

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFREY D. CONNOLLYCredential: DDS

Location Address1963 E 2700 SSalt Lake City, UT 84106-4053

Mailing Address1963 E 2700 SSalt Lake City, UT 84106-4053 · (801) 467-4747

Phone(801) 467-4747

Sole ProprietorYes

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700959186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 375457

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1963 E 2700 S, Salt Lake City, UT 84106

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Other Identifiers 1

Medicaid519545169007UT

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey D. Connolly Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. DEAN B. CONNOLLY DDS

Dentist (General Practice)

1963 E 2700 S
SALT LAKE CITY, UT 84106

Salt Lake County (801) 467-4747

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 Jeffrey Connolly's NPI number?

The NPI number for Jeffrey Connolly is 1700959186. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Jeffrey Connolly located?

Jeffrey Connolly practices at 1963 E 2700 S, Salt Lake City, UT 84106. The listed phone number is (801) 467-4747.

What is Jeffrey Connolly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeffrey Connolly enrolled in Medicare?

Yes. Jeffrey Connolly is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Connolly accept?

Health plans from EMI Health list Jeffrey Connolly 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 Jeffrey Connolly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.