OrganizationActive
Park City Pediatric Dentistry
NPI 1508287475 · Dental Clinic/Center · Park City, UT
Park City Pediatric Dentistry is a Dental Clinic/Center organization in Park City, UT (NPI 1508287475).
Provider details
- NPI number
- 1508287475
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marci Nicol, Vp of Operations(801) 918-4135
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1901 Prospector Ave
Park City, UT 84060-7207
Phone: (435) 649-5001
Street-level locationGet directions
Mailing address
1901 Prospector Ave
Park City, UT 84060-7207
Registry dates
- Enumerated
- 2013-12-19
- Last updated
- 2013-12-19
Frequently asked questions
- What is Park City Pediatric Dentistry's NPI number?
- Park City Pediatric Dentistry's National Provider Identifier (NPI) is 1508287475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park City Pediatric Dentistry?
- Park City Pediatric Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park City Pediatric Dentistry located?
- Park City Pediatric Dentistry's practice location on file with NPPES is 1901 Prospector Ave, Park City, UT 84060-7207.
- What is Park City Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Park City Pediatric Dentistry is (435) 649-5001.
- Who is the authorized official for Park City Pediatric Dentistry?
- The authorized official listed on Park City Pediatric Dentistry's NPPES record is Marci Nicol, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park City Pediatric Dentistry's NPI active?
- Yes — Park City Pediatric Dentistry's NPI (1508287475) is active in the NPPES registry as of the last update on 2013-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.