David Sandberg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

8325679-9922 Issued in UT

Practice address

1526 Ute Blvd Ste 212
Park City, UT 84098-7654

Phone

(435) 615-8500

NPI assigned

Jun 6, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Park City Dental Spa

  • Dental Clinic/Center
  • Park City, UT
  • NPI 1760144117
  NPD
• United States Navy

  • Military Hospital
  • Jacksonville, FL
  • NPI 1427328319
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1780945667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 S LAKE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051238",
            "telephone_number": "801-560-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 UTE BLVD STE 212",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987654",
            "telephone_number": "435-615-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Knight Lane Bldg H",
            "address_2": "Navy Medicine Support Command",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "904-542-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8325679-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Scott Kimche DDS Inc
• Morgan Saad, APRN
• Zachary Sadoff, DPT
• Veronica Asusena Salazar
• Sandra Michele Saluti, M.S.,P.T.
• Janae Sanders, CMHC
• Marc Neil Sanders, MD
• Rachael Santa Maria, DC
• Jose Abel Santana Molina
• Jaron Ann Santelli, MD

• Dentist in Park City, UT
• Providers in Park City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.