SG Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SG DENTAL PLLC

Doing business as

Bonneville Dental

Practice address

225 Skyhawk Dr
Wendover, UT 84083-4501

Phone

(801) 718-6881

NPI assigned

Feb 5, 2020

Last updated

Jun 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Spencer Gruber, DMDNPI 1083279764

Title

Dentist

Phone

(435) 665-7730

Specialties & licenses 1

Addresses

Other names 1

• Bonneville Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Spencer Gruber, DMD

  • General Practice Dentistry
  • Wendover, UT
  • NPI 1083279764
  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1831721240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 W 10305 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958213",
            "telephone_number": "435-665-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SKYHAWK DR",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "840834501",
            "telephone_number": "801-718-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-665-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonneville Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonneville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• D Craig Chamberlain, DDS
• Confederated Tribes of the Goshute Reservation
• James Spencer Gruber, DMD
• Andrew Kaskie, DDS
• McConnell Dental Care II (Wendover Dental Care)
• Wendover Dental Care PC (Wendover Dental Care)
• Wendover Eye Care, Inc
• Wendover Eyecare

• Dental Clinic/Center in Wendover, UT
• Providers in Wendover, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.