Holladay Dental Studio PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HOLLADAY DENTAL STUDIO PLLC

Practice address

4888 S Highland Dr
Holladay, UT 84117-6007

Phone

(801) 277-9213

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Andrew G Ericksen, DDSNPI 1811265143

Title

Owner

Phone

(801) 277-9213

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew G Ericksen, DDS

  • General Practice Dentistry
  • Holladay, UT
  • NPI 1811265143
  NPD Authorized official

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1710758842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176007",
            "telephone_number": "801-277-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176007",
            "telephone_number": "801-277-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-277-9213",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A. Hill, DDS
• Debbie Lee Hippolite Wright, MSW, PHD
• Conor Hodgson, PA-C
• Marina Hoggan, MS
• Holladay Center Dental
• Holladay Dental Studio PLLC
• Holladay Home Assisted Living LLC (Holladay Home For The Elderly)
• Holladay Home for the Elderly
• Holladay Modern Dentistry, LLP (Holladay Modern Dentistry)
• Holladay Opco LLC (Spring Gardens Holladay)

• Dental Clinic/Center in Holladay, UT
• Providers in Holladay, 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 Jan 9, 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.