Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODERN DENTAL PROFESSIONALS UTAH, PC
Deactivated OrganizationGeneral Dentistry · SANDY, UT
This NPI has been deactivated.
The record was deactivated on April 8, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1487913869
- Provider Type
- Organization
- NPI Issued
- May 7, 2012 (11.920765027322 yrs)
- Last Updated
- Mar 27, 2025
- Deactivated
- Apr 8, 2024
Practice Information
- Address
-
10011 S CENTENNIAL PKWY STE 330SANDY, UT, 840704178Browse UT providers · Browse ZIP 84070
- Phone
- 8012563700
- Fax
- 8015761777
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Organizations in SANDY, UT
| Name | NPI |
|---|---|
| RUSSELL G. LEWIS DDS PC | 1891872263 |
| JUSTIN J. WOODWARD D.D.S., P.C | 1396897906 |
| BART T WATTS DDS RANDALL K JOHNSON DDS INC | 1891833547 |
| STEVEN K JENSEN DDS, PC | 1205057197 |
| MOUNTAIN VALLEY DENTAL- PETERSEN, LLC | 1659582237 |
| GARY K. CLARK, DMD & ASSOC., PC | 1902007354 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.