OrganizationActive
Modern Dental Professionals Ut, PC
NPI 1265889166 · Dentist · South Ogden, UT
Modern Dental Professionals Ut, PC is a Dentist organization in South Ogden, UT (NPI 1265889166).
Provider details
- NPI number
- 1265889166
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Modern Dental Professionals Ut, PC
- Organization subpart
- Yes
- Authorized official
- Liliana Martinez, Credentialing Director(493) 089-7929
- License
- 141895-9921 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 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
5974 S. Fashion Pointe Drive
Suite 210
South Ogden, UT 84403
Phone: (801) 475-6121
Fax: (801) 471-0919
Approximate (ZIP-level) locationGet directions
Mailing address
8415 Datapoint Drive
San Antonio, TX 78229
Other names (DBA / former)
- Doing business as
- Monarch Dental - South Ogden
Registry dates
- Enumerated
- 2016-05-20
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Modern Dental Professionals Ut, PC's NPI number?
- Modern Dental Professionals Ut, PC's National Provider Identifier (NPI) is 1265889166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals Ut, PC?
- Modern Dental Professionals Ut, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Dental Professionals Ut, PC located?
- Modern Dental Professionals Ut, PC's practice location on file with NPPES is 5974 S. Fashion Pointe Drive, South Ogden, UT 84403.
- What is Modern Dental Professionals Ut, PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals Ut, PC is (801) 475-6121.
- Who is the authorized official for Modern Dental Professionals Ut, PC?
- The authorized official listed on Modern Dental Professionals Ut, PC's NPPES record is Liliana Martinez, Credentialing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Professionals Ut, PC's NPI active?
- Yes — Modern Dental Professionals Ut, PC's NPI (1265889166) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.