IndividualActive
Brent Lundberg, D.M.D.
NPI 1043359177 · General Practice Dentistry · Midvale, UT
Provider details
- NPI number
- 1043359177
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 138206 (UT)
Specialties & taxonomies
Dental Providers
Practice location
684 W Center St
Midvale, UT 84047-7124
Phone: (801) 255-4953
Approximate (ZIP-level) locationGet directions
Mailing address
684 W Center St
Midvale, UT 84047-7124
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.