OrganizationActive
Vine Street Pediatric Dentistry
NPI 1962609644 · Pediatric Dentistry · Murray, UT
Vine Street Pediatric Dentistry is a Pediatric Dentistry organization in Murray, UT (NPI 1962609644).
Provider details
- NPI number
- 1962609644
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marci Nicol, Office Manager(801) 268-1135
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
678 E Vine St
Suite #12
Murray, UT 84107-5546
Phone: (801) 268-1135
Fax: (801) 685-7630
Street-level locationGet directions
Mailing address
678 E Vine St
Murray, UT 84107-5546
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Vine Street Pediatric Dentistry's NPI number?
- Vine Street Pediatric Dentistry's National Provider Identifier (NPI) is 1962609644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vine Street Pediatric Dentistry?
- Vine Street Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Vine Street Pediatric Dentistry located?
- Vine Street Pediatric Dentistry's practice location on file with NPPES is 678 E Vine St, Murray, UT 84107-5546.
- What is Vine Street Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Vine Street Pediatric Dentistry is (801) 268-1135.
- Who is the authorized official for Vine Street Pediatric Dentistry?
- The authorized official listed on Vine Street Pediatric Dentistry's NPPES record is Marci Nicol, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vine Street Pediatric Dentistry's NPI active?
- Yes — Vine Street Pediatric Dentistry's NPI (1962609644) is active in the NPPES registry as of the last update on 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.