OrganizationActive
Access Professional Dental Care,llc
NPI 1053734384 · General Practice Dentistry · West Valley, UT
Provider details
- NPI number
- 1053734384
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lorri Detrick, Chief Operating Officer(916) 563-6002
Specialties & taxonomies
Dental Providers
Practice location
4577 S 4000 W
West Valley, UT 84120-6222
Phone: (801) 966-0900
Fax: (801) 966-5046
Approximate (ZIP-level) locationGet directions
Mailing address
8890 Cal Center Dr
Sacramento, CA 95826-3200
Other names (DBA / former)
- Doing business as
- Blue Hills Dental
Registry dates
- Enumerated
- 2014-01-22
- Last updated
- 2014-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.