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VINE STREET PEDIATRIC DENTISTRY
NPI 1962609644
Dentist - Pediatric Dentistry in Murray, UT

Active since June 27, 2007
678 E VINE ST, SUITE #12, MURRAY, UT 84107(801) 268-1135(801) 685-7630 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vine Street Pediatric Dentistry NPPES

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

VINE STREET PEDIATRIC DENTISTRY (NPI 1962609644) is a healthcare organization registered as a pediatric dentistry in Murray, Utah and active in the NPI registry since June 2007. The organization lists Marci Nicol, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962609644
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameVINE STREET PEDIATRIC DENTISTRY
Location Address678 E VINE ST, SUITE #12Murray, UT 84107-5546
Mailing Address678 E Vine St, Suite #12Murray, UT 84107-5546 · (801) 268-1135 · Fax (801) 685-7630
Phone(801) 268-1135
Fax(801) 685-7630
Organization SubpartNo
Authorized OfficialMarci NicolOffice Manager · (801) 268-1135
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962609644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
678 E VINE ST, Murray, UT 84107
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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 4

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

BURG PEDIATRIC DENTISTRY
Clinic/Center (Dental)
678 E VINE ST, STE 10
MURRAY, UT 84107
Salt Lake County (801) 918-4135
DR. KURT D CHRISTENSEN DDS
Dentist (Pediatric Dentistry)
678 E VINE ST, 12
MURRAY, UT 84107
Salt Lake County (801) 268-1135
JEFF S BURG DDS
Dentist (Pediatric Dentistry)
678 E VINE ST, 12
MURRAY, UT 84107
Salt Lake County (801) 268-1135
VINE STREET PEDIATRIC DENTISTRY
Clinic/Center (Dental)
678 E VINE ST, SUITE #12
MURRAY, UT 84107
Salt Lake County (801) 268-1135

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 Vine Street Pediatric Dentistry's NPI number?

The NPI number for Vine Street Pediatric Dentistry is 1962609644. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Vine Street Pediatric Dentistry located?

Vine Street Pediatric Dentistry is located at 678 E Vine St Suite #12, Murray, UT 84107. The listed phone number is (801) 268-1135.

What is Vine Street Pediatric Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Vine Street Pediatric Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.