OrganizationActive
Modern Dental Professionals - Utah, PC
NPI 1205233855 · Dentist · Bountiful, UT
Provider details
- NPI number
- 1205233855
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Liliana Martinez, Credentialing Director(493) 089-7929
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
24 S. 500 West, #a
Bountiful, UT 84010
Phone: (801) 296-1617
Street-level locationGet directions
Mailing address
8415 Datapoint Dr Ste 1020
San Antonio, TX 78229-3277
Other names (DBA / former)
- Doing business as
- Monarch Dental - Bountiful
Registry dates
- Enumerated
- 2014-11-25
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.