OrganizationActive
Mountain Sky Dental LLC
NPI 1720655194 · Dentist · So. Ogden, UT
Provider details
- NPI number
- 1720655194
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Mountain Sky Dental LLC
- Organization subpart
- Yes
- Authorized official
- Randall Kelley, Owner(385) 244-1530
Specialties & taxonomies
Dental Providers
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
5640 South Wasatch Dr Ste a
So. Ogden, UT 84403
Phone: (385) 244-1530
Fax: (385) 244-1530
Street-level locationGet directions
Mailing address
5640 South Wasatch Dr Ste a
So. Ogden, UT 84403
Registry dates
- Enumerated
- 2021-06-05
- Last updated
- 2021-06-05
- Certified
- 2021-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.