PDC WEST JORDAN LLC


Address: 7478 S Campus View Dr Ste 200, West Jordan, UT 84084-1969
Phone: 8012825112

PDC WEST JORDAN LLC (NPI# 1588043780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588043780
Entity Type Organization
Organization Name PDC WEST JORDAN LLC
Other Organization Name PLATINUM DENTAL CARE
Practice Address 7478 S Campus View Dr Ste 200
West Jordan
UT 84084-1969
Practice Telephone 8012825112
Practice Fax Number 8012825114
Mailing Telephone 8012825112
Mailing Fax Number 8012825114
Enumeration Date 2015-05-21
Last Update Date 2015-05-21
Authorized Official Name DR. LUKE R PETERSEN (GENERAL DENTIST)
Authorized Official Telephone 8012825112
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
7702761-9922 UT Dental Providers

Other Provider/Organization Names

Other Name Type Code
Platinum Dental Care Doing Business As Name - Organization

Office Location

Street Address 7478 S CAMPUS VIEW DR STE 200
City WEST JORDAN
State UT
Zip Code 84084-1969

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396351383 National Vision Inc Optometrist 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 2020-09-16
1386267938 Parker Brown Dentist Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 2020-05-18
1952809873 David D. Allred Counseling & Consulting, LLC Marriage & Family Therapist 1365 W Green Hedge Way, West Jordan, UT 84084 2018-01-25
1720514268 Utah Podiatric Physicians and Surgeons Group LLC Podiatrist 7000 S 1561 W, #100, West Jordan, UT 84084 2017-05-03
1245787829 Josh Sullivan Social Worker 7395 S Paddington Rd, West Jordan, UT 84084 2016-09-01
1457752503 Eaze Bracing Prosthetic/Orthotic Supplier 1324 W 7125 S, West Jordan, UT 84084 2014-09-09
1437595030 Medico Transport System Ambulance 7365 S 4570 W, South Jordan, UT 84084 2013-05-22
1659612737 Lifecare Specialty Pharmacy 1646 Sunrise Place Ste B, West Jordan, UT 84084 2013-03-14
1518217942 Luciane Lopes De Oliveira Student in an Organized Health Care Education/Training Program 7601 Redwood Road, West Jordan, UT 84084 2012-09-13
1023368636 Chelsey Tautkus Social Worker 7601 South Redwood Road, Building E, West Jordan, UT 84084 2012-09-12
Find all providers in zip 84084

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
1235778960 Abundant Dental Care, P.C. Dentist 5688 W 7800 S Ste 104, West Jordan, UT 84081-5404 2019-12-28
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
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

Competitor

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City WEST JORDAN
Zip Code 84084

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Dataset Information

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.

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