Organization Active NPI

Platinum Dental Care

  • Dental Assistant
  • Murray, UT
National Provider Identifier
1669745477
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
12604477-003-STC Issued in UT
Legal business name
PLATINUM DENTAL CARE
Practice address
279 E 5900 S
Suite 200
Murray, UT 84107-5421
Phone
(801) 293-1234
Fax
(801) 293-0287
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mr. Vincent Dilley
Title
Owner
Phone
(801) 655-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X 12604477-003-STC UT Primary

Addresses

Primary practice location

279 E 5900 S
Suite 200
Murray, UT 84107-5421

Mailing address

279 E 5900 S
Suite 200
Murray, UT 84107
Phone (801) 293-1234

National Provider Directory

National Provider Directory

Locations

279 E 5900 S
Ste 200
Salt Lake City, UT 84107
Phone (801) 210-0127

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1669745477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 E 5900 S",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-293-1234",
            "fax_number": "801-293-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E 5900 S",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075421",
            "telephone_number": "801-293-1234",
            "fax_number": "801-293-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "DILLEY",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-655-3788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "UT",
            "license": "12604477-003-STC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.