Creekside Family Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CREEKSIDE FAMILY DENTAL, P.C.

Practice address

4020 S 700 E Ste 1
Salt Lake City, UT 84107-7900

Phone

(801) 263-2633

NPI assigned

Feb 3, 2026

Organization subpart

No

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

Authorized official

Name

Cecilia Serrato, DMDNPI 1649967951

Title

Managing Member

Phone

(385) 259-3880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Cecilia Serrato, DMD

  • Dentist
  • Salt Lake City, UT
  • NPI 1649967951
  NPD (past) Authorized official
• Ronald Glenn Wilkins, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1922179670
  NPD (past)

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1376493817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 S 700 E STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077900",
            "telephone_number": "801-263-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 S 700 E STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077900",
            "telephone_number": "801-263-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "SERRATO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "385-259-3880",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Stacy Cree
• Creek Capital Cottonwood LLC (Burg Children's Dentistry & Orthodontics- Cottonwood)
• Ryan Christopher Creek, PA-C
• Jamison Lane Creekmore
• Creekside Chiropractic PLLC
• Benjamin Creer I
• Madalyn Creer
• Rachel Cremean
• Tracey A Creno, MSW INTERN
• Colbie Crenshaw

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.