OrganizationActive
Over the Road Dental
NPI 1912014234 · General Practice Dentistry · Salt Lake City, UT
Provider details
- NPI number
- 1912014234
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Angie Breeze, Office Manager(801) 886-9341
- License
- 143681-9922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1953 W. California Ave
Salt Lake City, UT 84104
Phone: (801) 886-9341
Fax: (801) 886-1786
Street-level locationGet directions
Mailing address
Po Box 271069
Salt Lake City, UT 84127-1069
Other names (DBA / former)
- Other name
- Michel B. Haynie
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.