NPIMap

Organization Active NPI

Modern Dental Professionals - Utah, PC

Doing business as Monarch Dental - South Temple

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1144022914
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MODERN DENTAL PROFESSIONALS - UTAH, PC
Doing business as
Monarch Dental - South Temple
Practice address
370 E South Temple Ste 350
Salt Lake City, UT 84111-1258
Phone
(801) 320-9810
Fax
(801) 335-9409
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MODERN DENTAL PROFESSIONALS - UTAH, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Gregory SmithNPI 1235351529
Title
Owner
Phone
(801) 955-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

370 E South Temple Ste 350
Salt Lake City, UT 84111-1258

Mailing address

8415 Datapoint Dr Ste 1020
San Antonio, TX 78229-3277
Phone (210) 929-2814

Other names 1

  • Monarch Dental - South Temple Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Dental Professionals Utah PC10 organizations share this tax ID, including this one
Part of
Modern Dental Professionals Utah PC

Other organizations with this tax ID 9

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

Locations

370 E South Temple
Ste 350
Salt Lake City, UT 84111
Phone (501) 320-9810

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1144022914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR STE 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293277",
            "telephone_number": "210-929-2814",
            "fax_number": "210-615-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111258",
            "telephone_number": "801-320-9810",
            "fax_number": "801-335-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS - UTAH, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN DENTAL PROFESSIONALS - UTAH, PC",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-955-1900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Dental - South Temple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.