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

Pony Express Dental LLC

Organization Dental Clinic/Center · NPI 1609315480

Pony Express Dental LLC is a Dental Clinic/Center in Eagle Mountain, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
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

1308 E Eagle Mountain Blvd
Eagle Mountain, UT 84005
Phone: (801) 876-7669
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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 5015649 (UT)

Record details

NPI number1609315480
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Mountain Health, LLC
Authorized official Michael Tornow — Coo · (505) 947-4252
NPI enumeratedFebruary 14, 2017
Last updated in NPPESMarch 16, 2017
Mailing address219 E 12300 S, Suite I-5, Draper, UT 84020-6970

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