OrganizationActive
Park City Pdc PLLC
NPI 1669909511 · Dental Clinic/Center · Park City, UT
Provider details
- NPI number
- 1669909511
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Warner, Credentialing Manager(801) 691-1701
- License
- 352590747 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1729 Sidewinder Dr.
Ste 102
Park City, UT 84060-7518
Phone: (435) 649-9492
Fax: (801) 692-9083
Street-level locationGet directions
Mailing address
Po Box 970309
Orem, UT 84097-0309
Other names (DBA / former)
- Doing business as
- Snow Country Dental Care
Registry dates
- Enumerated
- 2017-05-22
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.