OrganizationActive
Tooele Pdc PLLC
NPI 1306506167 · General Practice Dentistry · Tooele, UT
Provider details
- NPI number
- 1306506167
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Warner, Credentialing Manager(801) 691-1701
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
980 N Main St
Tooele, UT 84074-1616
Phone: (435) 248-0825
Fax: (435) 843-5490
Street-level locationGet directions
Mailing address
Po Box 970353
Orem, UT 84097-0353
Other names (DBA / former)
- Doing business as
- Wasatch Orthodontics and Family Dentistry
Registry dates
- Enumerated
- 2021-12-21
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.