OrganizationActive
Canyon Dental Group LLC
NPI 1669887204 · General Practice Dentistry · Ogden, UT
Canyon Dental Group LLC is a General Practice Dentistry organization in Ogden, UT (NPI 1669887204).
Provider details
- NPI number
- 1669887204
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bart Wolthuis, Dr.(801) 399-5831
- License
- 140299 (UT)
Specialties & taxonomies
Dental Providers
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
512 12th St
Ogden, UT 84404-5803
Phone: (801) 399-5831
Fax: (801) 409-0134
Street-level locationGet directions
Mailing address
512 12th St
Ogden, UT 84404-5803
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2014-06-23
Frequently asked questions
- What is Canyon Dental Group LLC's NPI number?
- Canyon Dental Group LLC's National Provider Identifier (NPI) is 1669887204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Dental Group LLC?
- Canyon Dental Group LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Canyon Dental Group LLC located?
- Canyon Dental Group LLC's practice location on file with NPPES is 512 12th St, Ogden, UT 84404-5803.
- What is Canyon Dental Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Dental Group LLC is (801) 399-5831.
- Who is the authorized official for Canyon Dental Group LLC?
- The authorized official listed on Canyon Dental Group LLC's NPPES record is Bart Wolthuis, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Dental Group LLC's NPI active?
- Yes — Canyon Dental Group LLC's NPI (1669887204) is active in the NPPES registry as of the last update on 2014-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.