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

Salt Lake Dermatology and Aesthetics PC

Organization Dermatology Physician · NPI 1669059713

Salt Lake Dermatology and Aesthetics PC is a Dermatology Physician in Salt Lake City, Utah. Registered with an NPI since 2021.

In the registry since
2021
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

250 E 300 S Ste 120
Salt Lake City, UT 84111-2418
Phone: (801) 521-5630
Fax: (801) 596-9780
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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 number1669059713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Sotiriou — Owner · (801) 521-5630
NPI enumeratedMarch 25, 2021
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address250 E 300 S Ste 120, Salt Lake City, UT 84111-2418

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