DR. LAURA PROVINE DMD
NPI 1912311879
Dentist in Salt Lake City, UT

Q: What is Laura Provine's NPI number?

The NPI number for Laura Provine is 1912311879. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Laura Provine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laura Provine was last updated on June 18, 2014. 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.

Active since June 18, 2014PECOS Enrolled

3191 S VALLEY ST, SALT LAKE CITY, UT 84109(801) 463-6657 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Laura Provine Dmd NPPES

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

DR. LAURA PROVINE DMD (NPI 1912311879) is an individual dentist in Salt Lake City, Utah, licensed in Utah (9070494-9922) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912311879

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LAURA PROVINECredential: DMD

Location Address3191 S VALLEY STSalt Lake City, UT 84109-4274

Mailing Address3191 S Valley StSalt Lake City, UT 84109-4274 · (801) 463-6657

Phone(801) 463-6657

Sole ProprietorNo

Enumeration DateJune 18, 2014

✔ NPI 1912311879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in UT · 9070494-9922✔ Licensed in UT · 9070494-8903

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.

3191 S VALLEY ST, Salt Lake City, UT 84109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.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. Laura Provine Dmd 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 84109 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.

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 Laura Provine's NPI number?

The NPI number for Laura Provine is 1912311879. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Laura Provine located?

Laura Provine practices at 3191 S Valley St, Salt Lake City, UT 84109. The listed phone number is (801) 463-6657.

What is Laura Provine's specialty?

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

Is Laura Provine enrolled in Medicare?

Yes. Laura Provine is registered in the Medicare PECOS enrollment system.

What insurance does Laura Provine accept?

Health plans from Guardian list Laura Provine 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 Laura Provine was last updated on June 18, 2014. 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.