Active NPI
Abundant Implant Services
- General Practice Dentistry
- Murray, UT
National Provider Identifier
1851021547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ABUNDANT IMPLANT SERVICES
- Practice address
- 795 East Winchester Street
Murray, UT 84107 - Phone
- (801) 849-1045
- Fax
- (801) 304-3151
- NPI assigned
- Jun 15, 2022
- Last updated
- Jun 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracie Sullivan
- Title
- VP of Finance
- Phone
- (801) 550-3901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
795 East Winchester Street
Murray, UT 84107
Mailing address
793 E Winchester St
Murray, UT 84107-7564
Phone (801) 849-1045
National Provider Directory
National Provider Directory- Tax ID family
- Abundant Implant Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Abundant Implant Services of Murray
- General Practice Dentistry
- Murray, UT
- NPI 1568191559
Locations
795 E Winchester St
Murray, UT 84107
Phone (801) 630-8811
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Abundant Implant Services of Murray
- General Practice Dentistry
- Murray, UT
- NPI 1568191559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655251200000",
"number": "1851021547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 E WINCHESTER ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077564",
"telephone_number": "801-849-1045",
"fax_number": "801-304-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 EAST WINCHESTER STREET",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-849-1045",
"fax_number": "801-304-3151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT IMPLANT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "TRACIE",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "801-550-3901"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
- Scott Aberegg, MD
- Jennifer Abernathy, MS, RD, CNSC
- James M. Abraham, O. D.
- Abundant Dental Care, P.C.
- Abundant Implant Services (Abundant Implant Services of Murray)
- Omar Abusamrah
- Acadia Pharmacy Services
- Access Professional Dental Care,LLC (Blue Hills Dental)
- Accident MD, LLC (Accident MD)
- Accurate Hearing Clinics & Audiology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.