OrganizationActive
Providence Pdc PLLC
NPI 1598390494 · Dentist · Providence, UT
Providence Pdc PLLC is a Dentist organization in Providence, UT (NPI 1598390494).
Provider details
- NPI number
- 1598390494
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Warner, Credentialing Manager(801) 691-1701
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
169 N Gateway Dr
Suite #105
Providence, UT 84332-9861
Phone: (435) 610-2474
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 970238
Orem, UT 84097-0309
Other names (DBA / former)
- Doing business as
- Platinum Dental Care-Providence
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Frequently asked questions
- What is Providence Pdc PLLC's NPI number?
- Providence Pdc PLLC's National Provider Identifier (NPI) is 1598390494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Pdc PLLC?
- Providence Pdc PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Providence Pdc PLLC located?
- Providence Pdc PLLC's practice location on file with NPPES is 169 N Gateway Dr, Providence, UT 84332-9861.
- What is Providence Pdc PLLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Pdc PLLC is (435) 610-2474.
- Who is the authorized official for Providence Pdc PLLC?
- The authorized official listed on Providence Pdc PLLC's NPPES record is Jacob Warner, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Pdc PLLC's NPI active?
- Yes — Providence Pdc PLLC's NPI (1598390494) is active in the NPPES registry as of the last update on 2020-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.