JORDAN RIDGE PEDIATRIC DENTISTRY – NPI #1669928909
Clinic/Center

JORDAN RIDGE PEDIATRIC DENTISTRY is an AHC clinic located in MURRAY, UT. NPPES has assigned the NPI number 1669928909 to JORDAN RIDGE PEDIATRIC DENTISTRY on August 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN RIDGE PEDIATRIC DENTISTRY below.

NPI Profile for
JORDAN RIDGE PEDIATRIC DENTISTRY

NPI Number
1669928909
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JORDAN RIDGE PEDIATRIC DENTISTRY
Primary location
678 E. VINE STREET
SUITE #10
MURRAY, UT 84107
Phone: (801) 918-4135 Fax:
Mailing address
678 E VINE ST
SUITE #10
MURRAY, UT 84107-5546
Phone: (801) 918-4135 Fax:
Organization Subpart
No
Authorized Official
MARCI NICOL
VP OF OPERATIONS
Phone: (801) 918-4135
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.