OrganizationActive
Professional Dental Slc LLC
NPI 1235977240 · Dental Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1235977240
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Hack, Owner(801) 636-0110
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1632 W 700 N Ste A-1
Salt Lake City, UT 84116-1903
Phone: (801) 785-8000
Fax: (801) 785-4030
Street-level locationGet directions
Mailing address
Po Box 1806
Orem, UT 84059-1806
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.