Organization Active NPI

Aa Dental LLP

  • Dental Clinic/Center
  • Pleasant Grove, UT
National Provider Identifier
1508407230
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AA DENTAL LLP
Practice address
597 S Pleasant Grove Blvd Ste 12
Pleasant Grove, UT 84062-3070
Phone
(801) 796-3535
Fax
(801) 796-0303
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Abby Randall
Title
Business Manager
Phone
(801) 796-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

597 S Pleasant Grove Blvd Ste 12
Pleasant Grove, UT 84062-3070

Mailing address

597 S Pleasant Grove Blvd Ste 12
Pleasant Grove, UT 84062-3070
Phone (801) 796-3535

National Provider Directory

National Provider Directory

Locations

597 S Pleasant Grove Blvd
Ste 12
Pleasant Grove, UT 84062
Phone (801) 796-3535

Practitioners & affiliated clinicians

Practitioners 1

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": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1508407230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 S PLEASANT GROVE BLVD STE 12",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623070",
            "telephone_number": "801-796-3535",
            "fax_number": "801-796-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 S PLEASANT GROVE BLVD STE 12",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623070",
            "telephone_number": "801-796-3535",
            "fax_number": "801-796-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA DENTAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "801-796-3535"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.