Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Central Fossa LLC

Organization Dentist · NPI 1225470909

Central Fossa LLC provides Dentist services in Sandy, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
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

7369 Creek Rd
Sandy, UT 84121 Not confirmed with CMS for 13 years — call before visiting
Phone: (801) 566-5577
Fax: (801) 566-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8628346 (UT)

Record details

NPI number1225470909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Florance Dethorn — Owner · (801) 566-5577
Other names Creek Road Dental Care
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013
Mailing address7369 Creek Road, Sandy, UT 84121

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