Abundant Dental Care, P.C.

Organization Active NPI General Practice Dentistry · Sandy, UT

NPI 1790368017 · NPPES record last updated May 4, 2021

Key facts

NPI
1790368017
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ABUNDANT DENTAL CARE, P.C.
Practice address
10497 S State St
Sandy, UT 84070-4112
Phone
(801) 335-5295
NPI assigned
May 4, 2021
Organization subpart
Yes
Parent organization (as reported)
ABUNDANT DENTAL CARE, P.C.

Authorized official

Name
Tracie Sullivan
Title
Director of Accounts Receivable
Phone
(801) 550-3901

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Tax ID family
Abundant Dental Care LLC (12 organizations share this tax ID)
Part of
Abundant Dental Care LLC

Locations

10497 S State St
Sandy, UT 84070
Phone (801) 335-5295

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

10497 S State St
Sandy, UT 84070-4112

Mailing address

793 E Winchester St
Murray, UT 84107-7564
Phone (801) 849-1045

Other names

  • Abundant Dental Care of South Town Doing business as

Other providers in Sandy, UT

All providers in Sandy, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.