OrganizationActive
Salt Lake Pediatric Dentistry
NPI 1538577655 · Dentist · Salt Lake City, UT
Salt Lake Pediatric Dentistry is a Dentist organization in Salt Lake City, UT (NPI 1538577655).
Provider details
- NPI number
- 1538577655
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Rupp, Owner(801) 463-1900
- License
- 7348465 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1548 E 4500 S Ste 102
Salt Lake City, UT 84117-5209
Phone: (801) 463-1900
Street-level locationGet directions
Mailing address
1548 E 4500 S Ste 102
Salt Lake City, UT 84117-5209
Registry dates
- Enumerated
- 2014-08-01
- Last updated
- 2014-08-01
Frequently asked questions
- What is Salt Lake Pediatric Dentistry's NPI number?
- Salt Lake Pediatric Dentistry's National Provider Identifier (NPI) is 1538577655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Salt Lake Pediatric Dentistry?
- Salt Lake Pediatric Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Salt Lake Pediatric Dentistry located?
- Salt Lake Pediatric Dentistry's practice location on file with NPPES is 1548 E 4500 S Ste 102, Salt Lake City, UT 84117-5209.
- What is Salt Lake Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Salt Lake Pediatric Dentistry is (801) 463-1900.
- Who is the authorized official for Salt Lake Pediatric Dentistry?
- The authorized official listed on Salt Lake Pediatric Dentistry's NPPES record is Jeffrey Rupp, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Salt Lake Pediatric Dentistry's NPI active?
- Yes — Salt Lake Pediatric Dentistry's NPI (1538577655) is active in the NPPES registry as of the last update on 2014-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.