Organization Active NPI

Swedent Dental PC

  • General Practice Dentistry
  • West Valley, UT
National Provider Identifier
1003774688
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SWEDENT DENTAL PC
Practice address
4066 S 4000 W
West Valley, UT 84120-4040
Phone
(801) 449-1232
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bongkoog Noh
Title
Ceo
Phone
(801) 717-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4066 S 4000 W
West Valley, UT 84120-4040

Mailing address

4066 S 4000 W
West Valley, UT 84120-4040
Phone (801) 449-1232

National Provider Directory

National Provider Directory
Tax ID family
Swedent Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4066 S 4000 W
West Valley City, UT 84120
Phone (801) 449-1232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1003774688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 S 4000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841204040",
            "telephone_number": "801-449-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 S 4000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841204040",
            "telephone_number": "801-449-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDENT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "NOH",
        "authorized_official_first_name": "BONGKOOG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-717-7411"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.