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

Pure Dermatology LLC

Organization Dermatology Physician · NPI 1902668171

Pure Dermatology LLC is a Dermatology Physician 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

466 E 500 S
Salt Lake City, UT 84111-3342
Phone: (801) 475-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1902668171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lea Hedstrom — Owner · (801) 475-3090
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address466 E 500 S, Salt Lake City, UT 84111-3342

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