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

Professional Dental Slc LLC

Organization Dental Clinic/Center · NPI 1235977240

Professional Dental Slc LLC is a Dental Clinic/Center in Salt Lake City, Utah. Registered with an NPI since 2024.

In the registry since
2024
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

1632 W 700 N Ste A-1
Salt Lake City, UT 84116-1903
Phone: (801) 785-8000
Fax: (801) 785-4030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1235977240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Hack — Owner · (801) 636-0110
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing addressPo Box 1806, Orem, UT 84059-1806

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