Cecilia Serrato, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

13348087-9922 Issued in UT

Practice address

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

Phone

(801) 263-2633

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creekside Family Dental, P.C.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1376493817
  NPD (past) Authorized official
• RJW Group, LLC

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1487150827
  NPD (past)
• Ko Olauloa Health Center

  • Federally Qualified Health Center (FQHC)
  • Kahuku, HI
  • NPI 1821335837
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1649967951",
    "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": {
        "last_name": "SERRATO",
        "first_name": "CECILIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13348087-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Sergakis, D.D.S.
• Victoria Serpico, APRN
• Marian Serra, MD
• Abel Serrano
• Reymund Maramento Serrano
• Alisha Sage Service, CSW
• Owen Luke Service
• Maximiliano Servin Rojas, MD
• Elizabeth Servis
• Allyson Marie Servoss, M.D.

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.