Organization · Type 2 NPI

Simply Dental of South Jordan, LLC

General Practice Dentistry · South Jordan, UT

NPI number 1093138448 Active

Practice location

1268 W South Jordan Pkwy, Suite 302
South Jordan, UT 84095-4652

Fax (801) 253-3342

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	139125 (UT)

General Practice Dentistry: 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.

8 other providers at this address

Other general practice dentistry providers in South Jordan

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NPI record

NPI: 1093138448
Entity type: Organization (Type 2)
Issued: Jan 21, 2014
Last updated: Jan 21, 2014
Status: Active
Subpart: Yes of Simply Dental Group, LLC

Other names

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South Jordan Dental · doing business as

Authorized official

Mr. Marcus H Webb
Owner/business Director
(801) 915-5947

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093138448

Simply Dental of South Jordan, LLC's National Provider Identifier is 1093138448, issued on Jan 21, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Jordan, UT. The record was last updated on Jan 21, 2014.