Abundant Dental Care, P.c.

NPI #1790368017 in Sandy, Utah

Provider Information

NPI Number: 1790368017
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: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 10497 S STATE ST
City: Sandy
State: Utah
ZIP Code: 84070-4112
Phone: (801) 335-5295

Authorized Official

Name: TRACIE SULLIVAN
Title: DIRECTOR OF ACCOUNTS RECEIVABLE
Phone: (801) 550-3901

Specialties & Taxonomy Codes

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

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