NPI 1306499249 · live from the CMS NPI Registry
Abundant Dental Care, P.C.
Dentist in Herriman, UT. National Provider Identifier 1306499249, active.
NPI record
| NPI | 1306499249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 5089 West 12600 South, Herriman, UT 84096 |
| Practice phone | 801-865-2725 |
| Mailing address | 793 E Winchester St, Murray, UT 84107 |
| Enumerated | July 19, 2019 |
| Last updated | June 29, 2021 |
| Authorized official | Annmarie Wilson, Executive |
| Other names | Abundant Dental Care Of Herriman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.