OrganizationActive
Paul Innis DMD Inc
NPI 1164624110 · General Practice Dentistry · Park City, UT
Provider details
- NPI number
- 1164624110
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Innis, President(435) 649-6332
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6584 N. Creekside Lane
Park City, UT 84098
Phone: (435) 649-6332
Street-level locationGet directions
Mailing address
Po Box 681179
Park City, UT 84068-1179
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2011-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.