Active NPI
Jacob Tuft, DMD
- Pediatric Dentistry
- Providence, UT
National Provider Identifier
1669101317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13673505
- Practice address
- 530 W 465 N Ste 703
Providence, UT 84332-8006 - Phone
- (435) 999-0234
- NPI assigned
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13673505 | UT | |
| Pediatric Dentistry | 1223P0221X | 13673505 | UT | Primary |
| Pediatric Dentistry | 1223P0221X | 2025044832 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
530 W 465 N Ste 703
Providence, UT 84332-8006
Mailing address
530 W 465 N Ste 703
Providence, UT 84332-8006
Phone (801) 615-1454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025044832 | MO | MD | Pediatric Dentist |
| 13673505 | UT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleepy Smiles LLC | Current | Accepting new patients | |
| Wasatch Pediatric Dentistry, PC | Pediatric Dentistry | Current | Accepting new patients |
Locations
530 W 465 N
Ste 703
Providence, UT 84332
Phone (385) 498-2281
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ivory Anesthesia
- Certified Registered Nurse Anesthetist
- Providence, UT
- NPI 1972116523
-
- Pediatric Dentistry
- Providence, UT
- NPI 1487216685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1669101317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 W 465 N STE 703",
"city": "PROVIDENCE",
"state": "UT",
"postal_code": "843328006",
"telephone_number": "801-615-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 W 465 N STE 703",
"city": "PROVIDENCE",
"state": "UT",
"postal_code": "843328006",
"telephone_number": "435-999-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUFT",
"first_name": "JACOB",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-08",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "13673505",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "UT",
"license": "13673505",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MO",
"license": "2025044832",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.