Professional Dental LLC
Professional Dental LLC is a healthcare organization registered as General Practice Dentistry in Payson, UT, holding Type 2 (organization) NPI 1457476376 since 2007. The authorized official on file is Robert Hack, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457476376 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Professional Dental LLC |
| Practice address | 78 E 100 S, Payson, UT, 84651 |
| Phone | 8014650550 |
| Fax | 8014659475 |
| Enumeration date | 2007-03-20 |
| Last updated in NPPES | 2017-03-10 |
Authorized official
| Name | Robert Hack |
|---|---|
| Title | Owner |
| Phone | 8017858000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 56928280160 | UT |
Copy-ready billing details
Provider: Professional Dental LLC NPI: 1457476376 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 78 E 100 S, Payson, UT, 84651
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538884655 | Utah Idea Builder LLC | Organization | Customized Equipment (DME) | Payson, UT |
Verify this record
Cross-check NPI 1457476376 against the authoritative CMS record: view Professional Dental LLC 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 Professional Dental LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-03-10.