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Contact Information

JORDAN LANDING DENTAL MANAGEMENT
7478 S CAMPUS VIEW DR
STE 202
WEST JORDAN, UT84084-1966
 Phone: 801-280-6911
 Fax: 801-280-6955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for JORDAN LANDING DENTAL MANAGEMENT

NPI # 1154862126
LBN Legal business name JORDAN LANDING DENTAL MANAGEMENT
Authorized official DAVID POWELL - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2017
Last updated 03/10/2017 - About 9 years ago
Identifiers
UT License # 344165
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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