Organization Active NPI

Lilac Dentistry

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1861342636
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LILAC DENTISTRY
Practice address
1408 S 1100 E Ste a
Salt Lake City, UT 84105-2400
Phone
(801) 828-5315
NPI assigned
Feb 2, 2026
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Dr. Samira Oveson, DDSNPI 1033462817
Title
Owner
Phone
(801) 828-5315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1408 S 1100 E Ste a
Salt Lake City, UT 84105-2400

Mailing address

1408 S 1100 E Ste a
Salt Lake City, UT 84105-2400
Phone (801) 828-5315

National Provider Directory

National Provider Directory

Locations

1408 S 1100 E
Ste A
Salt Lake City, UT 84105
Phone (801) 828-5315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1861342636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S 1100 E STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052400",
            "telephone_number": "801-828-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S 1100 E STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052400",
            "telephone_number": "801-828-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A",
        "authorized_official_last_name": "OVESON",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-828-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2026; 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.