Creek Road Dental
NPI 1629329719ActiveOrganization· Dentist· Sandy, UT
Dentist in Sandy, Utah, registered in NPPES in September 2012. The authorized official on file is Tyler B. Carlson, DMD, Member.
Overview
| NPI | 1629329719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2012 |
| Last updated in NPPES | Sep 28, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 590701-8903 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Sandy
- 1821425406
- 1225470909
- 1669005955
- 1366679888
- 1235220427
- 1164833794
- 1922275577
- 1831611961
- 1154737427
- 1720587629
- 1730872938
- 1568536217