Park City Dental Associates LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARK CITY DENTAL ASSOCIATES LLC

Practice address

1830 Prospector Ave
Park City, UT 84060-7319

Phone

(435) 649-6066

NPI assigned

Feb 13, 2019

Organization subpart

Yes

Parent organization

PARK CITY DENTAL ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Marc Brandon McKee, DDS

Title

Manager

Phone

(435) 671-7956

Specialties & licenses 1

Addresses

Part of

Park City Dental Associates LLC

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1992261143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 PROSPECTOR AVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607319",
            "telephone_number": "435-649-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 PROSPECTOR AVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607319",
            "telephone_number": "435-649-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N State St",
            "address_purpose": "LOCATION",
            "city": "Morgan",
            "state": "UT",
            "postal_code": "840509868",
            "country_code": "US",
            "telephone_number": "801-845-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1541 E Clark St",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014100",
            "country_code": "US",
            "telephone_number": "435-649-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 W 600 S",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840322247",
            "country_code": "US",
            "telephone_number": "435-657-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK CITY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK CITY DENTAL ASSOCIATES LLC",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-671-7956",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy M Ostler, MD
• Allison Jean Page, APRN
• Kathleen M Papi-Baker, OT
• Park City Chiropractic L.C.
• Park City Clinic Pharmacy
• Park City Dental Spa
• Park City Dermatology. Co
• Park City Endodontics LLC
• Park City Fire Service District
• Park City Gynecology, LLC

• Dental Clinic/Center in Park City, UT
• Providers in Park City, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.