JEFFERY K. RUPP (D.M.D., M.S.) – Pediatric Dentistry, NPI 1720149453

JEFFERY K. RUPP (D.M.D., M.S.) is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Dentistry. They hold the professional credentials D.M.D., M.S.. They hold a License No. 6273877-9922 (UT). The NPI Number for JEFFERY K. RUPP (D.M.D., M.S.) is 1720149453

Main info

Male
Sole Proprietor
Name
JEFFERY K. RUPP (D.M.D., M.S.)
NPI
1720149453
Phone
(801) 463-1900
Address
1548 E 4500 S
Enumeration Date
13 December 2006
Last Update Date
27 September 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEFFERY K. RUPP (D.M.D., M.S.)

  • 1548, 4500 South, Millcreek, Salt Lake County, Utah, 84117, United States

    SUITE 102

    SALT LAKE CITY, UT 841174209

    Phone: (801) 463-1900

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Dentsply Sirona Inc ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dentsply Sirona Inc$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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 84117)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JEFFERY K. RUPP (D.M.D., M.S.)?
JEFFERY K. RUPP (D.M.D., M.S.) — NPI 1720149453 — is the standard way to identify this listing.
Can I rely on JEFFERY K. RUPP (D.M.D., M.S.) being an active provider?
As of the registry snapshot, JEFFERY K. RUPP (D.M.D., M.S.) is marked active.
What is JEFFERY K. RUPP (D.M.D., M.S.)'s specialty?
The listing groups JEFFERY K. RUPP (D.M.D., M.S.) with Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What area does JEFFERY K. RUPP (D.M.D., M.S.) serve?
JEFFERY K. RUPP (D.M.D., M.S.)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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