PREDENTIVE DENTAL COMPANY NPI 1922480144

NPI Information

  • NPI: 1922480144
  • Provider Name: PREDENTIVE DENTAL COMPANY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 6957 S 1300 E
    COTTONWOOD HEIGHTS, UT
    ZIP 84047
  • Phone: (801) 618-0246

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NPI Details

PREDENTIVE DENTAL COMPANY is a dental clinic center in Cottonwood Heights, UT. PREDENTIVE DENTAL COMPANY NPI is 1922480144. The provider is registered as an organization entity type.

The provider's business location address is:

6957 S 1300 E
COTTONWOOD HEIGHTS, UT
ZIP 84047-817
Phone: (801) 618-0246

The provider's authorized official is Jeff Scott Burg .
The authorized official title is Dentist-owner and has the following contact phone number (801) 618-0246.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 8/18/2016.

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/CenterDental5096414UTAHYes

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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