Organization Active NPI

G&G Dental PLLC

  • Dental Clinic/Center
  • Park City, UT
National Provider Identifier
1730644717
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Feb 4, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1285713263OtherNPI

Other names 1

  • Mountain High Family Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.