Copper Cove Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COPPER COVE PEDIATRIC DENTISTRY

Practice address

3473 W South Jordan Pkwy Ste 3
South Jordan, UT 84095-6016

Phone

(801) 446-2080

Fax

(801) 446-2757

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Troy Hardy, DMD

Title

Owner

Phone

(801) 446-2080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1134536907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 W SOUTH JORDAN PKWY STE 3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956016",
            "telephone_number": "801-446-2080",
            "fax_number": "801-446-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 W SOUTH JORDAN PKWY STE 3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956016",
            "telephone_number": "801-446-2080",
            "fax_number": "801-446-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER COVE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-446-2080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Conover, PA-C
• Cook Clinic LLC
• Juliann Marie Cook Jeppsen, LCSW
• David E Cook, M.D.
• Shilea Dianne Cooper
• Copper Mountain Speech Therapy LLC
• Copper Ridge Counseling
• Copper Ridge Counseling LLC
• Copperview Medical Center, LLC
• Tricia Lynn Corcoran, L.AC., DIPL. OM

• Pediatric Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.