Willden Family Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53262349922 Issued in UT

Legal business name

WILLDEN FAMILY DENTAL INC.

Practice address

3632 W South Jordan Pkwy
Suite 202
South Jordan, UT 84095-7162

Phone

(801) 446-4668

Fax

(801) 446-6037

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Hymas WilldenNPI 1942235296

Title

Dr/Owner

Phone

(801) 446-4668

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.

• Ryan Hymas Willden, DDS

  • General Practice Dentistry
  • South Jordan, UT
  • NPI 1942235296
  NPD (past) Authorized official
• Lisa Romney, D.M.D.

  • General Practice Dentistry
  • South Jordan, UT
  • NPI 1538505110
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1992930861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 202",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 202",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957162",
            "telephone_number": "801-446-4668",
            "fax_number": "801-446-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLDEN FAMILY DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "WILLDEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "HYMAS",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "801-446-4668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "53262349922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wide Mind Wellness, LLC
• Taylor Denise Widener, AU.D.
• Justin Wilbert, LCSW
• Shandlie Wilcox
• Willden Family Dental Inc
• Ryan Hymas Willden, DDS
• Alyxandra Williams, MD
• Austin Troy Williams, DMD
• Danielle Williams, RN, BSN
• Halley Williams, MASTER ESTHETICIAN

• General Practice Dentistry in South Jordan, UT
• Providers in South 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 May 21, 2009; 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.