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

Modern Dental Professionals UT, PC

Organization Dentist · NPI 1265889166

Modern Dental Professionals UT, PC is a Dentist in South Ogden, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5974 S Fashion Pointe Dr Ste 210
South Ogden, UT 84403
Phone: (801) 475-6121
Fax: (801) 471-0919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 141895-9921 (UT)

Record details

NPI number1265889166
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationModern Dental Professionals UT, PC
Authorized official Liliana Martinez — Credentialing Director · (493) 089-7929
Other names Monarch Dental - South Ogden
NPI enumeratedMay 20, 2016
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address8415 Datapoint Drive, Suite 1020, San Antonio, TX 78229

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