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

Individual provider Pediatric Dentistry · NPI 1720149453

Jeffery K. Rupp, DMD, MS is a Pediatric Dentistry in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1548 E 4500 S Ste 102
Salt Lake City, UT 84117-4209
Phone: (801) 463-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6273877-9922 (UT)

Record details

NPI number1720149453
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESSeptember 27, 2012

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