NPIMap

Organization Active NPI

Jardine Alliance PLLC

  • Dental Clinic/Center
  • Provo, UT
National Provider Identifier
1801655964
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JARDINE ALLIANCE PLLC
Practice address
3330 N University Ave Ste a
Provo, UT 84604-4454
Phone
(801) 615-2917
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mark Jardine, DDSNPI 1801177704
Title
Owner/Dentist
Phone
(801) 368-8674

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

3330 N University Ave Ste a
Provo, UT 84604-4454

Mailing address

784 W 2920 N
Lehi, UT 84043-6022
Phone (801) 368-8674

Other names 1

  • Pfeifferhorn Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3330 N University Ave
Ste A
Provo, UT 84604
Phone (801) 375-1965

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1801655964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 W 2920 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436022",
            "telephone_number": "801-368-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N UNIVERSITY AVE STE A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044454",
            "telephone_number": "801-615-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARDINE ALLIANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "JARDINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-368-8674",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pfeifferhorn Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.