Organization Active NPI

Advance Dental PLLC

  • Dental Clinic/Center
  • Layton, UT
National Provider Identifier
1669986394
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADVANCE DENTAL PLLC
Practice address
700 N Fairfield Rd
Layton, UT 84041-2728
Phone
(801) 444-0303
Fax
(801) 546-0652
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
John Juel Christensen, DDS
Title
Dentist
Phone
(801) 444-0303

Specialties & licenses 1

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

Addresses

Primary practice location

700 N Fairfield Rd
Layton, UT 84041-2728

Mailing address

700 N Fairfield Rd
Layton, UT 84041-2728
Phone (801) 444-0303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1669986394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412728",
            "telephone_number": "801-444-0303",
            "fax_number": "801-546-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412728",
            "telephone_number": "801-444-0303",
            "fax_number": "801-546-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-444-0303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.