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WEST JORDAN MODERN DENTISTRY LLP NPI 1508134412


NPI Information

NPI: 1508134412
Provider Name: WEST JORDAN MODERN DENTISTRY , LLP

Doing Business As: WEST JORDAN MODERN DENTISTRY AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7632 CAMPUS VIEW DR STE 150
WEST JORDAN, UT
ZIP 84084
Phone: (801) 282-4142
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WEST JORDAN MODERN DENTISTRY , LLP 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. WEST JORDAN MODERN DENTISTRY , LLP NPI is 1508134412. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Jordan Modern Dentistry And Orthodontics.

The provider's business location address is:

7632 CAMPUS VIEW DR STE 150
WEST JORDAN, UT
ZIP 84084-630
Phone: (801) 282-4142
Fax: (801) 282-4146

The provider's authorized official is Christine B. Goodell .
The authorized official title is Owner and has the following contact phone number (801) 282-4142.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 4/13/2022.


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 PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.