OrganizationActive
Park City Pdc PLLC
NPI 1669909511 · Dental Clinic/Center · Park City, UT
Park City Pdc PLLC is a Dental Clinic/Center organization in Park City, UT (NPI 1669909511).
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
Frequently asked questions
- What is Park City Pdc PLLC's NPI number?
- Park City Pdc PLLC's National Provider Identifier (NPI) is 1669909511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park City Pdc PLLC?
- Park City Pdc PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park City Pdc PLLC located?
- Park City Pdc PLLC's practice location on file with NPPES is 1729 Sidewinder Dr., Park City, UT 84060-7518.
- What is Park City Pdc PLLC's phone number?
- The practice phone number listed in the NPPES registry for Park City Pdc PLLC is (435) 649-9492.
- Who is the authorized official for Park City Pdc PLLC?
- The authorized official listed on Park City 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 Park City Pdc PLLC's NPI active?
- Yes — Park City Pdc PLLC's NPI (1669909511) is active in the NPPES registry as of the last update on 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.