MICHAEL R. COTTAM MS DMD PLLC NPI 1679823058

NPI Information

  • NPI: 1679823058
  • Provider Name: MICHAEL R. COTTAM MS DMD PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 4775 W DAYBREAK PKWY
    SOUTH JORDAN, UT
    ZIP 84095
  • Phone: (801) 261-3178

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NPI Details

MICHAEL R. COTTAM MS DMD PLLC is a pediatric dentistry dentist in South Jordan, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MICHAEL R. COTTAM MS DMD PLLC NPI is 1679823058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4775 W DAYBREAK PKWY
SOUTH JORDAN, UT
ZIP 84095-968
Phone: (801) 261-3178
Fax: (801) 268-1930

The provider's authorized official is Michael R Cottam .
The authorized official title is Dentist and has the following contact phone number (801) 261-3178.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.

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
11223P0221XDentistPediatric Dentistry8296939-9923Yes

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: 11/21/2025

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