Abundant Dental Care, P.c.

NPI #1346760097 in Riverton, Utah

Provider Information

NPI Number: 1346760097
Entity Type: Organization
Organization Name: Abundant Dental Care, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ABUNDANT DENTAL CARE, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 23, 2017
Last Updated: Apr 22, 2021

Practice Location

Address: 3409 W 12600 S STE 100
City: Riverton
State: Utah
ZIP Code: 84065-7266
Phone: (801) 561-1559

Authorized Official

Name: TRACIE SULLIVAN
Title: DIRECTOR OF ACCOUNTS RECEIVABLE
Phone: (801) 849-1045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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