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

Kckg

Organization General Practice Dentistry · NPI 1386434280

Kckg is a General Practice Dentistry in Salt Lake City, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

620 E 2100 S
Salt Lake City, UT 84106-1828
Phone: (801) 671-6359
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 number1386434280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirkalnd Graham — Owner · (801) 671-6359
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address620 E 2100 S, Salt Lake City, UT 84106-1828

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