SDS Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SDS DENTAL LLC

Doing business as

Canyon Rim Dental

Practice address

2560 E 3300 S Ste 200
Salt Lake City, UT 84109-2749

Phone

(801) 486-3887

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Fesler

Title

Office Manager

Phone

(801) 486-3887

Specialties & licenses 1

Addresses

Other names 1

• Canyon Rim Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darron Grant Taylor, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1497069843
  NPD (past)

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1417770827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 E 3300 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092749",
            "telephone_number": "801-486-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E 3300 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092749",
            "telephone_number": "801-486-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "FESLER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-486-3887"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Rim Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scptr Wellness L.L.C. (SCPTR Wellness)
• Kyle James Scranton
• Elise Scribner
• SD Sunnyside LLC (Sarah Daft Assisting Living)
• Mallory R Sdano, MS, LCGC
• Hanna Seabaugh
• Paul R Seager, MD
• Sealants for Smiles
• Devin Seale
• Jamie Nielsen Seale, APRN

• Dental Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.