NPI 1033900683 · live from the CMS NPI Registry
Abundant Dental Care LLC
Dentist, General Practice in Cottonwood Heights, UT. National Provider Identifier 1033900683, active.
NPI record
| NPI | 1033900683 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 6957 S 1300 E, Cottonwood Heights, UT 84047 |
| Practice phone | 801-747-8015 |
| Mailing address | 793 E Winchester St, Murray, UT 84107 |
| Enumerated | May 14, 2025 |
| Last updated | May 14, 2025 |
| Authorized official | Tracie Sullivan, Vp Of Finance |
| Other names | Abundant Dental Care Of Fort Union |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.