Jordan Valley Dental

LBN: Jordan Valley Dental
Jordan Valley Dental is an health care organization with primary practice located at 7613 S Jordan Landing Blvd Ste 110 , West Jordan UT 84084-1973. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jordan Valley Dental can be contacted via phone (801) 282-2323, or through Colton, Brigham G via phone (801) 282-2323.

Contact Information

Primary practice address
7613 S Jordan Landing Blvd Ste 110 West Jordan UT 84084-1973
Phone: (801) 282-2323
Fax: (801) 282-3440
Website:
Map and Directions
Authorized official contact:
Name: Colton, Brigham G Doctor of Dental Medicine (DMD)
Phone: (801) 282-2323

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5926034 Utah

Profile Details

NPI number 1366891798
LBN Legal business name Jordan Valley Dental
DBA Doing business as
Authorized official Colton, Brigham G Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2016
Last updated Jun 7th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366891798 NPPES
Utah MEDICAID 528618929002 UT

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