NPI 1215626569 · live from the CMS NPI Registry
Abundant Saratoga Springs LLC
Dentist, General Practice in Saratoga Springs, UT. National Provider Identifier 1215626569, active.
NPI record
| NPI | 1215626569 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 717 N Redwood Rd Ste 105, Saratoga Springs, UT 84045 |
| Practice phone | 801-802-8300 |
| Mailing address | 793 E Winchester St, Murray, UT 84107 |
| Enumerated | May 3, 2023 |
| Last updated | May 3, 2023 |
| Authorized official | Tracie Sullivan, Vp Of Finance |
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.