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Active NPI 1295424232 Organization (Entity Type 2)

Cda Practice Llc

Clinic/Center - Dental • Draper, UT

About Cda Practice Llc NPI 1295424232 Summary

Cda Practice Llc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Draper, UT. Located at 11978 S 700 E STE 101, this facility provides patient care and medical services under National Provider Identifier (NPI) 1295424232.

Administrative operations and authorized compliance are overseen by Logan Locke (Dentist/Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

11978 S 700 E Ste 101

Draper, UT 840209818

Telephone 8013527002

Authorized Official Information

Authorized Contact Name

Logan Locke , DDS

Title / Role

Dentist/owner

Official Telephone

8017559243

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Jessica Birrell , CDT NPI 1174371546

Dentist - General Practice

Draper, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active May 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2023

Registered at 11978 S 700 E STE 101, DRAPER, UT 840209818 (Tel: 8013527002)

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Updated Business Mailing Address May 04, 2023

Registered at 11978 S 700 E STE 101, DRAPER, UT 840209818 (Tel: 8013527002)

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Organization / Clinic Name Updated May 04, 2023

Operating as CDA PRACTICE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Clinic/Center

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Initial NPI Registration & Enumeration May 04, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1295424232

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 04, 2023

Last Update: May 04, 2023

Update or Correct Listing

Mailing Address

11978 S 700 E Ste 101

Draper, UT 840209818

Phone: 8013527002

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.