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

Bonneville Preventive Dentistry PLLC

Organization Dental Clinic/Center · NPI 1255776431

Bonneville Preventive Dentistry PLLC is a Dental Clinic/Center in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3860 Jackson Ave Ste 6
Ogden, UT 84403-1956
Phone: (801) 627-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 8289908 (UT)

Record details

NPI number1255776431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Wolpert — Director · (801) 627-0420
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013
Mailing address3860 Jackson Ave, Suite 6, Ogden, UT 84403-1956

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