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JEFFERY K. RUPP D.M.D., M.S.
NPI 1720149453
Dentist - Pediatric Dentistry in Salt Lake City, UT

Active since December 13, 2006
1548 E 4500 S, SUITE 102, SALT LAKE CITY, UT 84117(801) 463-1900 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffery K. Rupp D.m.d., M.s. NPPES

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

JEFFERY K. RUPP D.M.D., M.S. (NPI 1720149453) is an individual pediatric dentistry provider in Salt Lake City, Utah, licensed in Utah (6273877-9922) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1720149453
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJEFFERY K. RUPPCredential: D.M.D., M.S.
Location Address1548 E 4500 S, SUITE 102Salt Lake City, UT 84117-4209
Mailing Address1548 E 4500 S, Suite 102Salt Lake City, UT 84117-4209 · (801) 463-1900
Phone(801) 463-1900
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1720149453 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 · 6273877-9922
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.
1548 E 4500 S, Salt Lake City, UT 84117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

STACY R SMITH MD PC
Ophthalmology
1548 E 4500 S, STE 105
SALT LAKE CITY, UT 84117
Salt Lake County (801) 424-3090
DR. ELENA MARGARITE HADJICHARALAMBOUS MD
Dermatology
1548 E 4500 S, STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 266-8841
DR. BRETON ADAM OREL YATES M.D.
Dermatology (MOHS-Micrographic Surgery)
1548 E 4500 S, STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 679-4600
SHANE FARR P.A.
Physician Assistant
1548 E 4500 S, STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 266-8841
DAVID GUSTAFSON DDS, MS
Dentist (Pediatric Dentistry)
1548 E 4500 S
SALT LAKE CITY, UT 84117
Salt Lake County (801) 463-1900

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 Jeffery Rupp's NPI number?

The NPI number for Jeffery Rupp is 1720149453. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jeffery Rupp located?

Jeffery Rupp practices at 1548 E 4500 S Suite 102, Salt Lake City, UT 84117. The listed phone number is (801) 463-1900.

What is Jeffery Rupp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jeffery Rupp accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Jeffery Rupp 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 Jeffery Rupp was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.