Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154175818 Individual Practitioner Male Practitioner

Dr. Nikolas Kenneth Diederich , DMD

Dentist • Draper, UT

Professional Overview & Biography Verified Profile Summary

Dr. Nikolas Diederich, DMD is a registered healthcare professional specializing in Dentist in Draper, UT. Practice services are available at 668 E 12225 S STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

668 E 12225 S Ste 101

Draper, UT 840207310

Telephone 8017628920
Associated Practice Facility / Clinic
🏢 Diederich Dmd, Pllc Facility NPI 1417839515

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Draper, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Draper, UT (758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License UT 13909577-9923

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 22, 2025

Registered at 668 E 12225 S STE 101, DRAPER, UT 840207310 (Tel: 8017628920)

📍
Updated Business Mailing Address July 22, 2025

Registered at 7115 S 2155 E, COTTONWOOD HEIGHTS, UT 841213832 (Tel: 8019318322)

NPI Profile Active April 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2024

Registered at 1267 38TH AVE N SPC 219, MYRTLE BEACH, SC 295771313 (Tel: 8434915963)

📍
Updated Business Mailing Address April 17, 2024

Registered at 1894 E WAGSTAFF DR, SALT LAKE CITY, UT 841175165 (Tel: 8019318322)

👤
Provider Name / Credentials Updated April 17, 2024

Recorded as NIKOLAS DIEDERICH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2024

Dentist (License #13909577-9923 in UT)

🟢
Initial NPI Registration & Enumeration April 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154175818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2024
Last Update: July 22, 2025
Sole Proprietor: No

Mailing Address

7115 S 2155 E

Cottonwood Heights, UT 841213832

Phone: 8019318322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.