ABUNDANT DENTAL CARE, P.C. (NPI# 1235778960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235778960 |
| Entity Type | Organization |
| Organization Name | ABUNDANT DENTAL CARE, P.C. |
| Practice Address |
5688 W 7800 S Ste 104 West Jordan UT 84081-5404 |
| Practice Telephone | 8012544454 |
| Mailing Telephone | 8012544454 |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |
| Authorized Official Name | SARAH BOGGS (DIRECTOR OR A/R) |
| Authorized Official Telephone | 8014672345 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABUNDANT DENTAL CARE OF WEST JORDAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Abundant Dental Care of West Jordan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1255981254 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 1, Sandy, UT 84070-2580 | 2019-09-12 |
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1093329187 | Abundant Dental Care, P.C. | Dentist | 793 E Winchester St, Murray, UT 84107-7564 | 2020-09-04 |
| 1760093421 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2020-08-14 |
| 1346760097 | Abundant Dental Care, P.C. | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2017-06-23 |
| Street Address |
5688 W 7800 S STE 104 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84081-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731453 | Tiffany Mcgilvery | Social Worker | 6172 W 7000 S, West Jordan, UT 84081 | 2016-03-07 |
| 1356767388 | Ken C Mccauley | Counselor | 5454 Balsa Avenue, West Jordan, UT 84081 | 2014-03-14 |
| 1780007641 | Deborah Harris | Social Worker | 8151 S 5940 W, West Jordan, UT 84081 | 2014-01-29 |
| 1396081303 | Tamra Monique Parko | Social Worker | 5134 Ticklegrass Rd, West Jordan, UT 84081 | 2012-12-19 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1366763377 | Michael Jones | Behavioral Analyst | 5500 S Bagley Rd, Bldg J, West Jordan, UT 84081 | 2010-06-14 |
| 1073018545 | Kendra Johnson | Technician, Pathology | 3809 W 6200 S, Kearns, UT 84081 | 2018-03-27 |
| 1881080240 | Jeffrey Arbez Zinger | Counselor | 8235 S Spratling Dr, West Jordan, UT 84081-1733 | 2015-04-13 |
| 1356723928 | Ashley Dean Kammerman | Occupational Therapy Assistant | 5426 W Harvestmill Dr, West Jordan, UT 84081-1795 | 2015-06-19 |
| 1699231142 | Deborah Michelle Kiesewetter | Behavior Technician | 8306 S Water Oak Dr, West Jordan, UT 84081-1829 | 2019-02-20 |
| Find all providers in zip 84081 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1942757570 | Young Family Dental Wj | Dentist | 4800 W. 8159 S., West Jordan, UT 84088-8213 | 2016-09-01 |
| 1104371160 | Tyler J Canales | Dentist | 7632 S Campus View Dr, Ste 150, West Jordan, UT 84084-5542 | 2016-08-19 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1588043780 | Pdc West Jordan LLC | Dentist | 7478 S Campus View Dr Ste 200, West Jordan, UT 84084-1969 | 2015-05-21 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1235539073 | Frandsen Family Dental Group | Dentist | 3078 W 7800 S Ste 7b, West Jordan, UT 84088-3704 | 2014-08-29 |
| 1336494780 | Santiago Martin Gardois | Dentist | 3755 W 7800 S, West Jordan, UT 84088-4487 | 2012-07-20 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84081 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.