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

Wasatch Periodontal Specialists LLC

Organization Periodontics · NPI 1962162412

Wasatch Periodontal Specialists LLC is a Periodontics in Salt Lake City, Utah. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4252 S Highland Dr Ste 101
Salt Lake City, UT 84124-2684
Phone: (801) 783-6249
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1962162412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Thunell — Member · (801) 783-6249
Other names Wasatch Periodontics
NPI enumeratedDecember 26, 2021
Last updated in NPPESDecember 26, 2021
Certification dateDecember 26, 2021
Mailing address4252 S Highland Dr Ste 101, Salt Lake City, UT 84124-2684

Other providers in Salt Lake City