Riverton Dental Care

LBN: Abundant Dental Care, P.C.
Riverton Dental Care is an health care organization with primary practice located at 3409 W 12600 S Ste 100 , Riverton UT 84065-7266. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Abundant Dental Care, P.C. can be contacted via phone (801) 561-1559, or through Sullivan, Tracie via phone (801) 849-1045.

Contact Information

Primary practice address
3409 W 12600 S Ste 100 Riverton UT 84065-7266
Phone: (801) 561-1559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Tracie
Phone: (801) 849-1045

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Utah
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1346760097
LBN Legal business name Abundant Dental Care, P.C.
DBA Doing business as Riverton Dental Care
Authorized official Sullivan, Tracie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 23rd, 2017
Last updated Apr 22nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346760097 NPPES
Other 0000000000 N/A

Popular Providers