Modern Dental Professionals Utah, PC

NPI #1487913869 in Sandy, Utah

Provider Information

NPI Number: 1487913869
Entity Type: Organization
Organization Name: Modern Dental Professionals Utah, PC
Subpart: Yes (part of a larger organization)
Parent Organization: MODERN DENTAL PROFESSIONALS UTAH, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 7, 2012
Last Updated: Mar 27, 2025

Practice Location

Address: 10011 S CENTENNIAL PKWY STE 330
City: Sandy
State: Utah
ZIP Code: 84070-4178
Phone: (801) 256-3700

Authorized Official

Name: GREGORY SMITH
Title: OWNER
Phone: (801) 955-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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