Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982448759 Individual Practitioner Male Practitioner

Dr. Taylor V Pettit , DDS

Dentist - General Practice • Logan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Pettit, DDS is a registered healthcare professional specializing in Dentist - General Practice in Logan, UT. Practice services are available at 167 E 200 N STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

167 E 200 N Ste 3

Logan, UT 843214049

Telephone 4353633584

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Logan, UT (1388 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: 2024-07-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 14038757-9923

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1811827074

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2024

Registered at 167 E 200 N STE 3, LOGAN, UT 843214049 (Tel: 4353633584)

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Updated Business Mailing Address July 02, 2024

Registered at 197 EVERGREEN DR, IDAHO FALLS, ID 834012907 (Tel: 2089712125)

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Provider Name / Credentials Updated July 02, 2024

Recorded as TAYLOR PETTIT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Dentist (License #14038757-9923 in UT)

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Initial NPI Registration & Enumeration June 25, 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: 1982448759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: July 02, 2024
Sole Proprietor: No

Mailing Address

197 Evergreen Dr

Idaho Falls, ID 834012907

Phone: 2089712125

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.