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Modern Dental Professionals Ut, PC

Dentist in South Ogden, UT · enumerated 2016 · authorized official Liliana Martinez, Credentialing Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265889166

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Dental Professionals Ut, PC
Other name <Unavail>
Parent organization Modern Dental Professionals Ut, PC
Practice address 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT, 84403
Fax (801) 471-0919
Enumeration date May 20, 2016
Last updated in NPPES Apr 8, 2024

Taxonomy & classification

122300000X Dentist Dental Providers · License 141895-9921 (UT) Primary

Authorized official

Name Liliana Martinez
Title Credentialing Director

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Modern Dental Professionals Ut, PC?
Modern Dental Professionals Ut, PC is registered in NPPES as a Dentist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-08.