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

12465 S Fort St Draper Dental LLC

Organization Dental Clinic/Center · NPI 1790593051

12465 S Fort St Draper Dental LLC is a Dental Clinic/Center in Draper, Utah. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12465 S Fort St Ste 100
Draper, UT 84020-8354
Phone: (801) 576-1167
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790593051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dallis Zurcher — Doctor · (801) 550-5013
Other names Corner Canyon Family Dental
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address3757 E Hermes Dr, Millcreek, UT 84124-3337

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