Organization · Type 2 NPI

Abundant Dental Care, P.c.

General Practice Dentistry · Sandy, UT

NPI number 1790368017 Active

Practice location

10497 S State St
Sandy, UT 84070-4112

Call (801) 335-5295 Map

Mailing address

793 E Winchester St
Murray, UT 84107-7564

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

Other general practice dentistry providers in Sandy

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NPI record

NPI: 1790368017
Entity type: Organization (Type 2)
Issued: May 4, 2021
Last updated: May 4, 2021
Status: Active
Subpart: Yes of Abundant Dental Care, P.c.

Other names

Abundant Dental Care of South Town · doing business as

Authorized official

Tracie Sullivan
Director of Accounts Receivable
(801) 550-3901

Verify this record

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 1790368017

Abundant Dental Care, P.c.'s National Provider Identifier is 1790368017, issued on May 4, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sandy, UT. The record was last updated on May 4, 2021.