Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477728269 Individual Practitioner Male Practitioner

Dr. Brett Michael Packham , DDS

Dentist - Pediatric Dentistry • Slc, UT

Professional Overview & Biography Verified Profile Summary

Dr. Brett Packham, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Slc, UT. Practice services are available at 100 N MEDICAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 N Medical Dr
Suite 3550

Slc, UT 841131103

Telephone 8016623900
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1568845048

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Slc, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Slc, UT (144 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

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License UT 6362621-9921

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Virginia Horan , PA-C

Physician Assistant

NPI 1093370827

Physician Assistant (Certified)

Dr. Andrew Horton , DDS

Dentist - General Practice

NPI 1184299737

Doctor of Dental Surgery

Dr. Mitzi Rosel , DDS

Dentist - Pediatric Dentistry

NPI 1184622565

Doctor of Dental Surgery

Dr. Allison Gerlach , DMD

Dentist - Pediatric Dentistry

NPI 1275019903

Doctor of Dental Medicine

Dr. Hans Reinemer , DMD

Dentist - Pediatric Dentistry

NPI 1346366283

Doctor of Dental Medicine

Dr. Walker Clark , DDS

Dentist - Pediatric Dentistry

NPI 1346761152

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2008

Registered at 100 N MEDICAL DR, SUITE 3550, SLC, UT 841131103 (Tel: 8016623900)

📍
Updated Business Mailing Address April 23, 2008

Registered at 1212 SCOTS FIELD CT, MURRAY, UT 841232654 (Tel: 8018979658)

👤
Provider Name / Credentials Updated April 23, 2008

Recorded as BRETT PACKHAM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Dentist (License #6362621-9921 in UT)

🟢
Initial NPI Registration & Enumeration April 23, 2008

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: 1477728269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2008
Last Update: April 23, 2008
Sole Proprietor: No

Mailing Address

1212 Scots Field Ct

Murray, UT 841232654

Phone: 8018979658

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.