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CLW DDS PLLC
NPI 1871626630
Dentist in Eden, UT

Active since March 13, 2007
2640 N HIGHWAY 162, EDEN, UT 84310(801) 745-1100 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clw Dds Pllc NPPES

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

CLW DDS PLLC (NPI 1871626630) is a healthcare organization registered as a dentist in Eden, Utah and active in the NPI registry since March 2007. The organization lists Chad Wagstaff, President, as its authorized official.

NPPES Registry Identity

NPI1871626630
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCLW DDS PLLC
Location Address2640 N HIGHWAY 162Eden, UT 84310-9745
Mailing AddressPo Box 805Eden, UT 84310-0805
Phone(801) 745-1100
Organization SubpartNo
Authorized OfficialChad WagstaffPresident · (801) 745-1100
Enumeration DateMarch 13, 2007
Last NPPES UpdateNovember 6, 2014
✔ NPI 1871626630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 8926074-9922
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.
2640 N HIGHWAY 162, Eden, UT 84310
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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

Other Providers at the Same Location NPPES

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

CHAD L WAGSTAFF DDS
Dentist (General Practice)
2640 N HIGHWAY 162
EDEN, UT 84310
Weber County (801) 745-1100

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 Clw Dds PLLC's NPI number?

The NPI number for Clw Dds PLLC is 1871626630. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Clw Dds PLLC located?

Clw Dds PLLC is located at 2640 N Highway 162, Eden, UT 84310. The listed phone number is (801) 745-1100.

What is Clw Dds PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Clw Dds PLLC was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.