IndividualActiveAccepts Medicare
Hal Bawden
NPI 1104129550 · Dentist · Montezuma Creek, UT
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104129550
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3727839922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
East Highway 262
Montezuma Creek, UT 84534
Phone: (435) 651-3700
Fax: (435) 651-3376
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Montezuma Creek, UT 84511
Registry dates
- Enumerated
- 2010-12-07
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.