Organization Active NPI

Demille Mackay Dental

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1609739242
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEMILLE MACKAY DENTAL
Practice address
3454 S 4800 W
West Valley City, UT 84120-1705
Phone
(801) 969-3025
Fax
(801) 969-6115
NPI assigned
Dec 9, 2025
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Christopher Demille, DMDNPI 1952506636
Title
Owner
Phone
(801) 969-3025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3454 S 4800 W
West Valley City, UT 84120-1705

Mailing address

3454 S 4800 W
West Valley City, UT 84120-1705
Phone (801) 969-3025

National Provider Directory

National Provider Directory

Locations

3454 S 4800 W
West Valley City, UT 84120
Phone (801) 895-4744

Practitioners & affiliated clinicians

Practitioners 2

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": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1609739242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 S 4800 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201705",
            "telephone_number": "801-969-3025",
            "fax_number": "801-969-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 S 4800 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201705",
            "telephone_number": "801-969-3025",
            "fax_number": "801-969-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMILLE MACKAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "DEMILLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-969-3025",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.