OrganizationActive
Park City Dental Spa
NPI 1760144117 · Dental Clinic/Center · Park City, UT
Provider details
- NPI number
- 1760144117
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dawnetta Abraham, Manager(435) 615-8500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1526 Ute Blvd Ste 212
Park City, UT 84098-7654
Phone: (435) 615-8500
Fax: (435) 214-7246
Street-level locationGet directions
Mailing address
1526 Ute Blvd Ste 212
Park City, UT 84098-7654
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-10-12
- Certified
- 2021-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.