Bountiful Dentistry
Bountiful Dentistry is a healthcare organization registered as General Practice Dentistry in Bountiful, UT, holding Type 2 (organization) NPI 1053743922 since 2013. The authorized official on file is Mark Nelson, Part Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053743922 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bountiful Dentistry |
| Practice address | 625 E 500 S, SUITE 201, Bountiful, UT, 84010 |
| Phone | 8012920443 |
| Enumeration date | 2013-08-02 |
| Last updated in NPPES | 2013-08-02 |
Authorized official
| Name | Mark Nelson |
|---|---|
| Title | Part Owner |
| Phone | 8012958322 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 2013-45880 | UT |
Copy-ready billing details
Provider: Bountiful Dentistry NPI: 1053743922 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 625 E 500 S, SUITE 201, Bountiful, UT, 84010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053471896 | Joseph Feller | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Bountiful, UT |
| 1063554434 | Phillip Olsen | Individual | Dentist | Bountiful, UT |
| 1457558983 | Duane Orchard | Individual | Prosthodontics | Bountiful, UT |
| 1659569804 | Bbk, Inc. | Organization | Hearing Aid Equipment | Bountiful, UT |
| 1184958159 | Mark H. Blaisdell DDS, PC | Organization | Dentist | Bountiful, UT |
| 1417484163 | Stobbe Eggett Dental | Organization | Dental Clinic/Center | Bountiful, UT |
Verify this record
Cross-check NPI 1053743922 against the authoritative CMS record: view Bountiful Dentistry on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bountiful Dentistry?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-08-02.