OrganizationActive
Main Street Dental of Salt Lake City
NPI 1245607068 · Point of Service · Salt Lake City, UT
Main Street Dental of Salt Lake City is a Point of Service organization in Salt Lake City, UT (NPI 1245607068).
Provider details
- NPI number
- 1245607068
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jennifer Wilson, Manager/Owner(801) 792-6033
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3195 S Main St Ste 201
Salt Lake City, UT 84115-3749
Phone: (801) 792-6033
Street-level locationGet directions
Mailing address
7922 S Goldenpointe Way
West Jordan, UT 84088-7672
Other names (DBA / former)
- Former legal business name
- Main Street Dental of Salt Lake City
Registry dates
- Enumerated
- 2015-08-27
- Last updated
- 2015-08-27
Frequently asked questions
- What is Main Street Dental of Salt Lake City's NPI number?
- Main Street Dental of Salt Lake City's National Provider Identifier (NPI) is 1245607068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Dental of Salt Lake City?
- Main Street Dental of Salt Lake City is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Main Street Dental of Salt Lake City located?
- Main Street Dental of Salt Lake City's practice location on file with NPPES is 3195 S Main St Ste 201, Salt Lake City, UT 84115-3749.
- What is Main Street Dental of Salt Lake City's phone number?
- The practice phone number listed in the NPPES registry for Main Street Dental of Salt Lake City is (801) 792-6033.
- Who is the authorized official for Main Street Dental of Salt Lake City?
- The authorized official listed on Main Street Dental of Salt Lake City's NPPES record is Jennifer Wilson, Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Dental of Salt Lake City's NPI active?
- Yes — Main Street Dental of Salt Lake City's NPI (1245607068) is active in the NPPES registry as of the last update on 2015-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.