OrganizationActive
Eastgate Pediatric Dentistry
NPI 1629499520 · Dental Clinic/Center · Slc, UT
Eastgate Pediatric Dentistry is a Dental Clinic/Center organization in Slc, UT (NPI 1629499520).
Provider details
- NPI number
- 1629499520
- 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
1580 E 3900 S
Suite #110
Slc, UT 84124-1581
Phone: (801) 272-8555
Street-level locationGet directions
Mailing address
1580 E 3900 S
Slc, UT 84124-1581
Registry dates
- Enumerated
- 2013-12-18
- Last updated
- 2013-12-18
Frequently asked questions
- What is Eastgate Pediatric Dentistry's NPI number?
- Eastgate Pediatric Dentistry's National Provider Identifier (NPI) is 1629499520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastgate Pediatric Dentistry?
- Eastgate Pediatric Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eastgate Pediatric Dentistry located?
- Eastgate Pediatric Dentistry's practice location on file with NPPES is 1580 E 3900 S, Slc, UT 84124-1581.
- What is Eastgate Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Eastgate Pediatric Dentistry is (801) 272-8555.
- Who is the authorized official for Eastgate Pediatric Dentistry?
- The authorized official listed on Eastgate 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 Eastgate Pediatric Dentistry's NPI active?
- Yes — Eastgate Pediatric Dentistry's NPI (1629499520) is active in the NPPES registry as of the last update on 2013-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.