South Valley Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH VALLEY DENTAL ASSOCIATES, LLC

Practice address

9217 S Redwood Rd
Suite B
West Jordan, UT 84088-5826

Phone

(801) 566-1873

Fax

(801) 307-0215

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Judson Barclay, D.D.S.

Title

Owner

Phone

(801) 566-1873

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Heston Farnsworth, D.M.D.

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1154705960
  NPD (past)
• Michael Brandon Green, D.D.S.

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1861606584
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780692178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 S REDWOOD RD",
            "address_2": "SUITE B",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885826",
            "telephone_number": "801-566-1873",
            "fax_number": "801-307-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 S REDWOOD RD",
            "address_2": "SUITE B",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885826",
            "telephone_number": "801-566-1873",
            "fax_number": "801-307-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JUDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-566-1873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Scott Sorensen, L.C.S.W.
• Sofia Sorensen
• Sorenson Medical, Inc.
• Angela Sorich
• Amanda Echo Sortor
• South Valley Ear Nose and Throat Associates, PLLC
• South Valley Health Center, LLC
• South Valley Sanctuary
• South Valley Women'S Imaging, LLC
• Southwest Children'S Clinic

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.