Slc Pdc Pllc is a Dental Clinic in Salt Lake City, Utah. It is located at 1963 S 1200 E, Ste 103, Salt Lake City, UT and its contact number is 801-466-1212. The authorized person for Slc Pdc Pllc is Jacob Warner
who is Credentialing Manager of the clinic and their contact number is 801-691-1701.
Slc Pdc Pllc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Slc Pdc Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Slc Pdc Pllc |
| Specialization: | Dentistry |
| Clinic Address: | 1963 S 1200 E, Ste 103, Salt Lake City,
Utah, 84105-3523 |
| Phone: | 801-466-1212 |
| Fax: | 801-466-1919 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jacob Warner |
| Position: | Credentialing Manager |
| Contact Number: | 801-691-1701 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Slc Pdc Pllc clinic are as mentioned below.
| NPI Number: | 1124438916 |
| NPI Enumeration Date: | 01 May, 2014 |
| NPI Last Update On: | 02 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Slc Pdc Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Slc Pdc Pllc
Po Box 970687,
Orem, Utah |
| Zip: | 84097-0687 |
| Phone Number: | 801-691-1701 |
| Fax Number: | 801-335-6551 |
Patients can reach Slc Pdc Pllc at
1963 S 1200 E, Ste 103, Salt Lake City, Utah or can
call to book an appointment on 801-466-1212.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.