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

Utah Dental Providers

Organization General Practice Dentistry · NPI 1104903152

Utah Dental Providers is a General Practice Dentistry in Salt Lake City, Utah. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

1909 W 4700 S
Salt Lake City, UT 84118-1105
Phone: (801) 968-9548
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 18458 (TX)

Record details

NPI number1104903152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ballard — Cio · (972) 755-0800
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4100 McEwen Rd, Suite 110, Dallas, TX 75244-5113

Other providers in Salt Lake City