Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

104 West Dental LLC

Organization General Practice Dentistry · NPI 1255294765

104 West Dental LLC is a General Practice Dentistry in Brigham City, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

104 W 200 S
Brigham City, UT 84302-2506
Phone: (435) 734-2394
Fax: (435) 734-0117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1255294765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Nelson — Member · (435) 734-2394
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address104 W 200 S, Brigham City, UT 84302-2506

Other providers in Brigham City