OrganizationActive
104 West Dental LLC
NPI 1255294765 · General Practice Dentistry · Brigham City, UT
104 West Dental LLC is a General Practice Dentistry organization in Brigham City, UT (NPI 1255294765).
Provider details
- NPI number
- 1255294765
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daniel Nelson, Member(435) 734-2394
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
104 W 200 S
Brigham City, UT 84302-2506
Phone: (435) 734-2394
Fax: (435) 734-0117
Street-level locationGet directions
Mailing address
104 W 200 S
Brigham City, UT 84302-2506
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is 104 West Dental LLC's NPI number?
- 104 West Dental LLC's National Provider Identifier (NPI) is 1255294765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 104 West Dental LLC?
- 104 West Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 104 West Dental LLC located?
- 104 West Dental LLC's practice location on file with NPPES is 104 W 200 S, Brigham City, UT 84302-2506.
- What is 104 West Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for 104 West Dental LLC is (435) 734-2394.
- Who is the authorized official for 104 West Dental LLC?
- The authorized official listed on 104 West Dental LLC's NPPES record is Daniel Nelson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 104 West Dental LLC's NPI active?
- Yes — 104 West Dental LLC's NPI (1255294765) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.