OrganizationActive
Park City Pediatric Dentistry
NPI 1508287475 · Dental Clinic/Center · Park City, UT
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(76/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.