PARK CITY PEDIATRIC DENTISTRY – Dental Clinic/Center, NPI 1508287475

PARK CITY PEDIATRIC DENTISTRY is a healthcare provider. based in Park city, Utah. specializing in Dental Clinic/Center. The NPI Number for PARK CITY PEDIATRIC DENTISTRY is 1508287475

Main info

Organization
Name
PARK CITY PEDIATRIC DENTISTRY
NPI
1508287475
Phone
(435) 649-5001
Address
1901 PROSPECTOR AVE
Authorized Official
MARCI NICOL VP OF OPERATIONS
Enumeration Date
19 December 2013
Last Update Date
19 December 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for PARK CITY PEDIATRIC DENTISTRY

  • 1901 PROSPECTOR AVE

    PARK CITY, UT 840607207

    Phone: (435) 649-5001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84060)

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Reviews

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Frequently asked questions

Can I cross-check PARK CITY PEDIATRIC DENTISTRY using NPI 1508287475?
NPI 1508287475 belongs to PARK CITY PEDIATRIC DENTISTRY; compare other details if you need extra assurance.
Is PARK CITY PEDIATRIC DENTISTRY still an active registrant?
PARK CITY PEDIATRIC DENTISTRY carries an active NPI according to the public dataset.
What kind of doctor is PARK CITY PEDIATRIC DENTISTRY?
PARK CITY PEDIATRIC DENTISTRY is associated with Dental Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with PARK CITY PEDIATRIC DENTISTRY?
Directory geography for PARK CITY PEDIATRIC DENTISTRY centers on Park City, Utah.
When was this NPI issued?
Enumeration for PARK CITY PEDIATRIC DENTISTRY is noted as December 19, 2013 where the registry provides it.

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