Millbrook Dental Management LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILLBROOK DENTAL MANAGEMENT LLC

Doing business as

Millbrook Dental

Practice address

3643 S Highland Dr
Salt Lake City, UT 84106-3212

Phone

(801) 486-9434

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Dallis Jacob Zurcher, DDS

Title

Managing Member

Phone

(801) 550-5013

Specialties & licenses 1

Addresses

Other names 1

• Millbrook Dental Doing business as

Practitioners 1

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

• Herald Ruth Clark, DDS,PC

  • Dentist
  • Salt Lake City, UT
  • NPI 1568855377
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1811764939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063212",
            "telephone_number": "801-486-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063212",
            "telephone_number": "801-486-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ZURCHER",
        "authorized_official_first_name": "DALLIS",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-550-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrook Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dani Miletic
• Milford Memorial Hospital
• Milford Memorial Hospital
• Monique G Milius, LMT
• Devan Millard, M.D.
• Millcreek Anesthesia PC
• Millcreek Child & Family Services
• Millcreek Chiropractic LLC
• Millcreek Home Health
• Millcreek Home Health

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.