OrganizationActive
850 E 300 S Slc Dental LLC
NPI 1629645239 · Dental Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1629645239
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Lowther, Office Manager(801) 355-0380
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
850 E 300 S Ste 3
Salt Lake City, UT 84102-2397
Phone: (801) 355-0380
Fax: (801) 355-0384
Street-level locationGet directions
Mailing address
850 E 300 S Ste 3
Salt Lake City, UT 84102-2397
Other names (DBA / former)
- Doing business as
- 3rd South Dental
Registry dates
- Enumerated
- 2021-06-10
- Last updated
- 2021-06-10
- Certified
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.