CDA PRACTICE LLC NPI 1295424232

NPI Information

  • NPI: 1295424232
  • Provider Name: CDA PRACTICE LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 11978 S 700 E STE 101
    DRAPER, UT
    ZIP 84020
  • Phone: (801) 352-7002

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NPI Details

CDA PRACTICE LLC is a dental clinic center in Draper, UT. CDA PRACTICE LLC NPI is 1295424232. The provider is registered as an organization entity type.

The provider's business location address is:

11978 S 700 E STE 101
DRAPER, UT
ZIP 84020-818
Phone: (801) 352-7002

The provider's authorized official is Logan Locke .
The authorized official title is Dentist/owner and has the following contact phone number (801) 755-9243.

The enumeration date for this NPI number is 5/4/2023 and was last updated on 5/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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