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Utah Modern Medical LLC

General Practice Physician in Lehi, UT · enumerated 2022 · authorized official Dave Bullock, Owner.

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

National Provider Identifier

1689310948

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Registry record

Entity type Organization (Type 2)
Legal business name Utah Modern Medical LLC
Practice address 3300 N Ashton Blvd Ste 450, Lehi, UT, 84048
Phone (385) 455-7170
Fax (888) 823-5887
Enumeration date May 10, 2022
Last updated in NPPES Aug 17, 2026

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Dave Bullock
Title Owner
Phone (385) 455-7170

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

What is the NPI number for Utah Modern Medical LLC?
The NPI for Utah Modern Medical LLC is 1689310948, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Utah Modern Medical LLC?
NPPES lists Dave Bullock (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-17.