EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC – NPI #1922573856
Clinic/Center

EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC is an AHC clinic located in EAGLE MOUNTAIN, UT. NPPES has assigned the NPI number 1922573856 to EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC on October 08, 2018. 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 EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC below.

NPI Profile for
EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC

NPI Number
1922573856
Enumeration Date

(more than 7 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
EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC
Primary location
3435 PONY EXPRESS PARKWAY STE. 130
EAGLE MOUNTAIN, UT 84005
Phone: (801) 562-2222 Fax:
Mailing address
10011 S CENTENNIAL PKWY STE 250
SANDY, UT 84070-4121
Phone: (801) 562-2222 Fax: (801) 562-2230
Organization Subpart
No
Authorized Official
ERIK ROOKLIDGE
PRESIDENT
Phone: (801) 674-7702
Updated
Identifiers

Identifiers for EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT529313580002
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.