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JORDAN LANDING DENTAL CARE PC NPI 1487963278


NPI Information

NPI: 1487963278
Provider Name: JORDAN LANDING DENTAL CARE, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7611 JORDAN LANDING BLVD STE 201
WEST JORDAN, UT
ZIP 84084
Phone: (801) 280-7001
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JORDAN LANDING DENTAL CARE, PC is a general practice dentist in West Jordan, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JORDAN LANDING DENTAL CARE, PC NPI is 1487963278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7611 JORDAN LANDING BLVD STE 201
WEST JORDAN, UT
ZIP 84084-613
Phone: (801) 280-7001
Fax: (801) 280-7076

The provider's authorized official is Andrew Vaughn Erickson .
The authorized official title is Dentist and has the following contact phone number (801) 280-7001.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 9/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice357970UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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