Active NPI
Cottonwood Pediatric Dentistry
- Dental Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1053732958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- COTTONWOOD PEDIATRIC DENTISTRY
- Practice address
- 7050 S Highland Dr
Suite #110
Salt Lake City, UT 84121-3749 - Phone
- (801) 943-3233
- NPI assigned
- Dec 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marci Nicol
- Title
- VP of Operations
- Phone
- (801) 918-4135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
7050 S Highland Dr
Suite #110
Salt Lake City, UT 84121-3749
Mailing address
7050 S Highland Dr
Suite #110
Salt Lake City, UT 84121-3749
Phone (801) 943-3233
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1053732958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 S HIGHLAND DR",
"address_2": "SUITE #110",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213749",
"telephone_number": "801-943-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 S HIGHLAND DR",
"address_2": "SUITE #110",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213749",
"telephone_number": "801-943-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTONWOOD PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "NICOL",
"authorized_official_first_name": "MARCI",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "801-918-4135"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- Cottonwood Center for Counseling (Family Abuse Center for Treatment)
- Cottonwood Creek MSL, LLC (Cottonwood Creek)
- Cottonwood Endodontics PC
- Cottonwood Eye & Laser Clinic, P.C.
- Cottonwood Pediatric Dental (All About Smiles)
- Cottonwood Professional Coaching LLC
- Courtland Glen Cottrell, D.D.S.
- Criste Cottrell
- Noelle Cottrell
- Danielle Lavoie Cottrill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.