Healthcare Provider Details

I. General information

NPI: 1255292629
Provider Name (Legal Business Name): ERIK J STORHEIM DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 S 700 E STE 270
SALT LAKE CITY UT
84102-1160
US

IV. Provider business mailing address

77 S 700 E STE 270
SALT LAKE CITY UT
84102-1160
US

V. Phone/Fax

Practice location:
  • Phone: 801-355-3151
  • Fax: 801-355-1100
Mailing address:
  • Phone: 801-355-3151
  • Fax: 801-355-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIK STORHEIM
Title or Position: OWNER
Credential: DMD
Phone: 801-706-5361