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12465 S FORT ST DRAPER DENTAL LLC
NPI 1790593051
Clinic/Center - Dental in Draper, UT

Active since December 19, 2024
12465 S FORT ST STE 100, DRAPER, UT 84020(801) 576-1167 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 12465 S Fort St Draper Dental Llc NPPES

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

12465 S FORT ST DRAPER DENTAL LLC (NPI 1790593051), doing business as Corner Canyon Family Dental, is a healthcare organization registered as a dental in Draper, Utah and active in the NPI registry since December 2024. The organization lists Dallis Jacob Zurcher, Doctor, as its authorized official.

NPPES Registry Identity

NPI1790593051
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name12465 S FORT ST DRAPER DENTAL LLC
Location Address12465 S FORT ST STE 100Draper, UT 84020-8354
Mailing Address3757 E Hermes DrMillcreek, UT 84124-3337 · (801) 550-5013
Phone(801) 576-1167
Organization SubpartNo
Authorized OfficialDallis Jacob ZurcherDoctor · (801) 550-5013
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1790593051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12465 S FORT ST STE 100, Draper, UT 84020
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Other Names 1

Doing Business AsCorner Canyon Family Dental

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 12465 S Fort St Draper Dental LLC's NPI number?

The NPI number for 12465 S Fort St Draper Dental LLC is 1790593051. It was assigned to this organization in the NPPES registry on December 19, 2024. The provider is doing business as Corner Canyon Family Dental.

Where is 12465 S Fort St Draper Dental LLC located?

12465 S Fort St Draper Dental LLC is located at 12465 S Fort St Ste 100, Draper, UT 84020. The listed phone number is (801) 576-1167.

What is 12465 S Fort St Draper Dental LLC'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 12465 S Fort St Draper Dental LLC was last updated on December 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.