ABUNDANT DENTAL CARE, P.C. (NPI# 1346760097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346760097 |
| Entity Type | Organization |
| Organization Name | ABUNDANT DENTAL CARE, P.C. |
| Practice Address |
3409 W 12600 S Ste 100 Riverton UT 84065-7266 |
| Mailing Address |
793 E Winchester St Murray UT 84107-7564 |
| Practice Telephone | 8015611559 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | TRACIE SULLIVAN (DIRECTOR OF ACCOUNTS RECEIVABLE) |
| Authorized Official Telephone | 8018491045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | 0000000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1235778960 | Abundant Dental Care, P.C. | Dentist | 5688 W 7800 S Ste 104, West Jordan, UT 84081-5404 | 2019-12-28 |
| 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 |
| Street Address |
3409 W 12600 S STE 100 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164801619 | Scott Lewis | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2015-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386048171 | Riverton Heights Dental Care | Dentist | 3693 W 13400 S, Suite B, Riverton, UT 84065-6411 | 2014-10-22 |
| 1881827921 | Lucinda Jane Hall | Dentist | 4019 W 12600 S Ste 100, Riverton, UT 84096-7402 | 2009-08-24 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1083890537 | Mandana Mahdi | Dentist | 1543w 12600s, Unit 101, Riverton, UT 84065 | 2008-01-15 |
| 1780898288 | Colton James Crane | Dentist | 831 W Sunset Dr, Riverton, WY 82501-2353 | 2007-05-10 |
| 1659433803 | Byron Charles Pugh | Dentist | 12694 S Redwood Rd, Riverton, UT 84065-6605 | 2006-12-14 |
| 1346301926 | Mountain Valley Dental Gardner | Dentist | 12684 S Redwood Rd, Riverton, UT 84065-6695 | 2006-12-13 |
| 1629147681 | Sam B Richey | Dentist | 3926 W. 13400 S., Riverton, UT 80465 | 2006-11-06 |
| 1730278946 | Rebecca Mostatab | Dentist | 4531 W Partridgehill Lane, Suite F-110, Riverton, UT 84096 | 2006-10-12 |
| 1811082795 | Robert Dana Fowler | Dentist | 621 N 8th St W, Riverton, WY 82501-3318 | 2006-10-04 |
| Find all providers in RIVERTON | ||||
Please comment or provide details below to improve the information on ABUNDANT DENTAL CARE, P.C..
| 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.