Organization Active NPI

Willden Family Dental Inc

  • Dental Clinic/Center
  • South Jordan, UT
National Provider Identifier
1780421271
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILLDEN FAMILY DENTAL INC
Practice address
10654 S River Heights Dr Ste 330
South Jordan, UT 84095-5544
Phone
(801) 446-4668
Fax
(801) 446-6037
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Ryan H. Willden, DDSNPI 1942235296
Title
Owner/Dentist
Phone
(801) 446-4668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10654 S River Heights Dr Ste 330
South Jordan, UT 84095-5544

Mailing address

10654 S River Heights Dr Ste 330
South Jordan, UT 84095-5544
Phone (801) 446-4668

National Provider Directory

National Provider Directory

Locations

10654 S River Heights Dr
Ste 330
South Jordan, UT 84095
Phone (801) 446-4668

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": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1780421271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 330",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955544",
            "telephone_number": "801-446-4668",
            "fax_number": "801-446-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 330",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955544",
            "telephone_number": "801-446-4668",
            "fax_number": "801-446-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLDEN FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "WILLDEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-446-4668",
        "authorized_official_name_prefix": "Dr.",
        "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 South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.