Organization
MDG - SALT LAKE CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KELLEN MCWHORTER DMD (OWNER)
(801) 358-8175
Entity
Organization
Contact information
Practice address
440 W 200 S STE 275, SALT LAKE CITY, UT 84101-1464
(801) 321-7600
Mailing address
440 W 200 S STE 275, SALT LAKE CITY, UT 84101-1464
(801) 321-7600
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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