Organization · Type 2 NPI

Ridge Park Dental

General Practice Dentistry · Layton, UT

NPI number 1982107306 Active

Practice location

2307 N Hill Field Rd Ste 101
Layton, UT 84041-6890

Fax (801) 773-2850

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	275232 (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.

Another provider at this address

Ridge Park DentalDental Clinic/Center Layton, UT NPI 1851913057

Other general practice dentistry providers in Layton

See all in Layton →

NPI record

NPI: 1982107306
Entity type: Organization (Type 2)
Issued: Mar 12, 2018
Last updated: Jun 16, 2018
Status: Active

Other names

<unavail>
Dr. Grant A. Brough, Dds, PC · former legal business name
Grant A Brough, Dds, PC · former legal business name

Authorized official

Dr. Grant Atwood Brough, DDS
Owner/operator
(801) 773-5285

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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 1982107306

Ridge Park Dental's National Provider Identifier is 1982107306, issued on Mar 12, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Layton, UT. The record was last updated on Jun 16, 2018.