Organization Active NPI

Judd E Partridge DMD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Salt Lake City, UT
National Provider Identifier
1043615156
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6226963 Issued in UT
Legal business name
JUDD E PARTRIDGE DMD LLC
Practice address
7138 S Highland Dr
Suite 211
Salt Lake City, UT 84121-3757
Phone
(801) 943-8703
Fax
(801) 943-5150
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Judd E Partridge, DMDNPI 1588728646
Title
Owner
Phone
(801) 943-8703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 6226963 UT Primary

Addresses

Primary practice location

7138 S Highland Dr
Suite 211
Salt Lake City, UT 84121-3757

Mailing address

7138 S Highland Dr
Suite 211
Salt Lake City, UT 84121-3757
Phone (801) 943-8703

National Provider Directory

National Provider Directory

Locations

6710 S Blackstone Rd
Ste 104
Salt Lake City, UT 84121
Phone (801) 943-8703

7138 S Highland Dr
Ste 211
Salt Lake Cty, UT 84121
Phone (801) 251-7167

4775 W Daybreak Pkwy
Ste 104
South Jordan, UT 84009
Phone (801) 280-5535

156 E 2000 N
Ste 200
Tooele, UT 84074

156 E 2000 N
Ste 110
Tooele, UT 84074

181 W Vine St
Tooele, UT 84074
Phone (435) 882-0099

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1043615156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR",
            "address_2": "SUITE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-943-8703",
            "fax_number": "801-943-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR",
            "address_2": "SUITE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-943-8703",
            "fax_number": "801-943-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDD E PARTRIDGE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "JUDD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-943-8703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "6226963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.