Active NPI
Ut Special Needs Dental Services, PLLC
- Pediatric Dentistry
- Salt Lake City, UT
National Provider Identifier
1801775341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- UT SPECIAL NEEDS DENTAL SERVICES, PLLC
- Doing business as
- UT Special Needs Dental Care
- Practice address
- 530 E 500 S Ste a
Salt Lake City, UT 84102-2707 - Phone
- (615) 678-0759
- NPI assigned
- Aug 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte V Dasch
- Title
- Sr. Director of Credentialing
- Phone
- (504) 638-0303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
530 E 500 S Ste a
Salt Lake City, UT 84102-2707
Mailing address
1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759
Other names 1
- UT Special Needs Dental Care
National Provider Directory
National Provider DirectoryLocations
530 E 500 S
Ste A
Salt Lake City, UT 84102
Phone (615) 678-0759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1801775341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 54TH AVE N STE 205",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372091442",
"telephone_number": "615-678-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 500 S STE A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022707",
"telephone_number": "615-678-0759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UT SPECIAL NEEDS DENTAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "DASCH",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "SR. DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "504-638-0303"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UT Special Needs Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.