OrganizationActive
Central Fossa LLC
NPI 1225470909 · Dentist · Sandy, UT
Provider details
- NPI number
- 1225470909
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Amy Florance Dethorn, Owner(801) 566-5577
- License
- 8628346 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
7369 Creek Road
Sandy, UT 84121
Phone: (801) 566-5577
Fax: (801) 566-4848
Street-level locationGet directions
Mailing address
7369 Creek Road
Sandy, UT 84121
Other names (DBA / former)
- Doing business as
- Creek Road Dental Care
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2013-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.