Abundant Dental Care, P.C.
Organization Active NPI Dentist · Herriman, UT
NPI 1306499249 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1306499249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ABUNDANT DENTAL CARE, P.C.
- Practice address
- 5089 West 12600 South
Herriman, UT 84096 - Phone
- (801) 865-2725
- NPI assigned
- Jul 19, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ABUNDANT DENTAL CARE, P.C.
Authorized official
- Name
- Annmarie Wilson
- Title
- Executive
- Phone
- (540) 419-9422
Corporate family (same tax ID) 11
Practitioners 2
National Provider Directory
- Tax ID family
- Abundant Dental Care LLC
- Part of
- Abundant Dental Care LLC
Locations
5089 W 12600 S
Herriman, UT 84096
Phone (801) 865-2725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
5089 West 12600 South
Herriman, UT 84096
Mailing address
793 E Winchester St
Murray, UT 84107-7564
Phone (801) 281-9517
Other names
- Abundant Dental Care of Herriman
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | herriman |
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.