Modern Dental Professionals - Utah, PC
NPI 1740687706ActiveOrganization· Dentist· American Fork, UT
Dentist in American Fork, Utah, registered in NPPES in November 2014. The authorized official on file is Liliana Martinez, Credentialing Director.
Overview
| NPI | 1740687706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2014 |
| Last updated in NPPES | Apr 8, 2024 |
| Certified by provider | Apr 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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 American Fork
- 1881935906
- 1851848485
- 1427136605
- 1255377578
- 1194807156
- 1982768982
- 1003950833
- 1013120195
- 1164862553