Organization · Type 2 NPI

Modern Dental Professionals Ut, PC

Dentist · South Ogden, UT

NPI number 1265889166 Active

Practice location

5974 S. Fashion Pointe Drive, Suite 210
South Ogden, UT 84403

Call (801) 475-6121 Map

Fax (801) 471-0919

Mailing address

8415 Datapoint Drive, Suite 1020
San Antonio, TX 78229

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	141895-9921 (UT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Other dentist providers in South Ogden

Mountain Sky Dental LLCDentist South Ogden, UT NPI 1720655194

See all in South Ogden →

NPI record

NPI: 1265889166
Entity type: Organization (Type 2)
Issued: May 20, 2016
Last updated: Apr 8, 2024
Status: Active
Subpart: Yes of Modern Dental Professionals Ut, PC

Other names

<unavail>
Monarch Dental - South Ogden · doing business as

Authorized official

Liliana Martinez
Credentialing Director
(493) 089-7929

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1265889166

Modern Dental Professionals Ut, PC's National Provider Identifier is 1265889166, issued on May 20, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in South Ogden, UT. The record was last updated on Apr 8, 2024.