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Tooele Pdc Pllc

General Practice Dentistry in Tooele, UT · enumerated 2021 · authorized official Jacob Warner, Credentialing Manager.

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

National Provider Identifier

1306506167

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Registry record

Entity type Organization (Type 2)
Legal business name Tooele Pdc Pllc
Practice address 980 N Main St, Tooele, UT, 84074
Phone (435) 248-0825
Fax (435) 843-5490
Enumeration date Dec 21, 2021
Last updated in NPPES Dec 21, 2021

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jacob Warner
Title Credentialing Manager
Phone (801) 691-1701

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-21. Verify at npiregistry.cms.hhs.gov.
Where is Tooele Pdc Pllc located?
The practice location on file with NPPES is in Tooele, UT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-21.