Active NPI
G&G Dental PLLC
- Dental Clinic/Center
- Park City, UT
National Provider Identifier
1730644717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- G&G DENTAL PLLC
- Doing business as
- Mountain High Family Dental and Orthodontics
- Practice address
- 1764 Uinta Way Ste E1
Park City, UT 84098-7674 - Phone
- (435) 647-3012
- NPI assigned
- Feb 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Gordon
- Title
- Owner/Manager
- Phone
- (435) 647-3012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1764 Uinta Way Ste E1
Park City, UT 84098-7674
Mailing address
PO Box 980367
Park City, UT 84098-0367
Phone (435) 647-3012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285713263 | Other | NPI |
Other names 1
- Mountain High Family Dental and Orthodontics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Park City, UT
- NPI 1285713263
-
- General Practice Dentistry
- Park City, UT
- NPI 1194992586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1730644717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980367",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840980367",
"telephone_number": "435-647-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1764 UINTA WAY STE E1",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987674",
"telephone_number": "435-647-3012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G&G DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "435-647-3012"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285713263",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain High Family Dental and Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.