NPI 1235778960 · live from the CMS NPI Registry
Abundant Dental Care, P.C.
Dentist, General Practice in West Jordan, UT. National Provider Identifier 1235778960, active.
NPI record
| NPI | 1235778960 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5688 W 7800 S Ste 104, West Jordan, UT 84081 |
| Practice phone | 801-254-4454 |
| Enumerated | December 28, 2019 |
| Last updated | December 28, 2019 |
| Authorized official | Sarah Boggs, Director Or A/R |
| Other names | Abundant Dental Care Of West Jordan |
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.