OrganizationActive
Bonneville Preventive Dentistry PLLC
NPI 1255776431 · Dental Clinic/Center · Ogden, UT
Bonneville Preventive Dentistry PLLC is a Dental Clinic/Center organization in Ogden, UT (NPI 1255776431).
Provider details
- NPI number
- 1255776431
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Wolpert, Director(801) 627-0420
- License
- 8289908 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3860 Jackson Ave
Suite 6
Ogden, UT 84403-1956
Phone: (801) 627-0420
Street-level locationGet directions
Mailing address
3860 Jackson Ave
Ogden, UT 84403-1956
Registry dates
- Enumerated
- 2013-05-01
- Last updated
- 2013-05-01
Frequently asked questions
- What is Bonneville Preventive Dentistry PLLC's NPI number?
- Bonneville Preventive Dentistry PLLC's National Provider Identifier (NPI) is 1255776431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonneville Preventive Dentistry PLLC?
- Bonneville Preventive Dentistry PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bonneville Preventive Dentistry PLLC located?
- Bonneville Preventive Dentistry PLLC's practice location on file with NPPES is 3860 Jackson Ave, Ogden, UT 84403-1956.
- What is Bonneville Preventive Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bonneville Preventive Dentistry PLLC is (801) 627-0420.
- Who is the authorized official for Bonneville Preventive Dentistry PLLC?
- The authorized official listed on Bonneville Preventive Dentistry PLLC's NPPES record is Matthew Wolpert, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonneville Preventive Dentistry PLLC's NPI active?
- Yes — Bonneville Preventive Dentistry PLLC's NPI (1255776431) is active in the NPPES registry as of the last update on 2013-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.