OrganizationActive
Modern Dental Professionals Utah, PC
NPI 1336404763 · General Practice Dentistry · Ogden, UT
Modern Dental Professionals Utah, PC is a General Practice Dentistry organization in Ogden, UT (NPI 1336404763).
Provider details
- NPI number
- 1336404763
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Liliana Martinez, Credentialing Director(949) 308-9792
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1140 W Riverdale Rd
Suite D
Ogden, UT 84405-3787
Phone: (801) 917-1502
Fax: (801) 436-3222
Street-level locationGet directions
Mailing address
8415 Datapoint Dr Ste 1020
San Antonio, TX 78229-3277
Other names (DBA / former)
- Doing business as
- Monarch Dental - Riverdale
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Modern Dental Professionals Utah, PC's NPI number?
- Modern Dental Professionals Utah, PC's National Provider Identifier (NPI) is 1336404763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals Utah, PC?
- Modern Dental Professionals Utah, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Modern Dental Professionals Utah, PC located?
- Modern Dental Professionals Utah, PC's practice location on file with NPPES is 1140 W Riverdale Rd, Ogden, UT 84405-3787.
- What is Modern Dental Professionals Utah, PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals Utah, PC is (801) 917-1502.
- Who is the authorized official for Modern Dental Professionals Utah, PC?
- The authorized official listed on Modern Dental Professionals Utah, 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 Utah, PC's NPI active?
- Yes — Modern Dental Professionals Utah, PC's NPI (1336404763) 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.