What is 12465 S Fort St Draper Dental LLC's NPI number?

12465 S Fort St Draper Dental LLC's National Provider Identifier (NPI) is 1790593051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is 12465 S Fort St Draper Dental LLC?

12465 S Fort St Draper Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).

Where is 12465 S Fort St Draper Dental LLC located?

12465 S Fort St Draper Dental LLC's practice location on file with NPPES is 12465 S Fort St Ste 100, Draper, UT 84020-8354.

What is 12465 S Fort St Draper Dental LLC's phone number?

The practice phone number listed in the NPPES registry for 12465 S Fort St Draper Dental LLC is (801) 576-1167.

Who is the authorized official for 12465 S Fort St Draper Dental LLC?

The authorized official listed on 12465 S Fort St Draper Dental LLC's NPPES record is Dallis Zurcher, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is 12465 S Fort St Draper Dental LLC's NPI active?

Yes — 12465 S Fort St Draper Dental LLC's NPI (1790593051) is active in the NPPES registry as of the last update on 2024-12-19.

OrganizationActive

12465 S Fort St Draper Dental LLC

NPI 1790593051 · Dental Clinic/Center · Draper, UT

12465 S Fort St Draper Dental LLC is a Dental Clinic/Center organization in Draper, UT (NPI 1790593051).

Provider details

NPI number: 1790593051
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Dallis Zurcher, Doctor(801) 550-5013

Practice location

12465 S Fort St Ste 100

Draper, UT 84020-8354

Phone: (801) 576-1167

Street-level locationGet directions

More UT providers

Mailing address

3757 E Hermes Dr

Millcreek, UT 84124-3337

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Corner Canyon Family Dental

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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.

Enumerated: 2024-12-19
Last updated: 2024-12-19
Certified: 2024-12-19

Frequently asked questions

What is 12465 S Fort St Draper Dental LLC's NPI number?: 12465 S Fort St Draper Dental LLC's National Provider Identifier (NPI) is 1790593051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is 12465 S Fort St Draper Dental LLC?: 12465 S Fort St Draper Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
Where is 12465 S Fort St Draper Dental LLC located?: 12465 S Fort St Draper Dental LLC's practice location on file with NPPES is 12465 S Fort St Ste 100, Draper, UT 84020-8354.
What is 12465 S Fort St Draper Dental LLC's phone number?: The practice phone number listed in the NPPES registry for 12465 S Fort St Draper Dental LLC is (801) 576-1167.
Who is the authorized official for 12465 S Fort St Draper Dental LLC?: The authorized official listed on 12465 S Fort St Draper Dental LLC's NPPES record is Dallis Zurcher, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is 12465 S Fort St Draper Dental LLC's NPI active?: Yes — 12465 S Fort St Draper Dental LLC's NPI (1790593051) is active in the NPPES registry as of the last update on 2024-12-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions