NPI 1154862126

Jordan Landing Dental Management

Organisation Preferred Provider Organization West Jordan, UT

Practice location

Address: 7478 S Campus View Dr STE 202, West Jordan, UT 84084-1966
Phone: (801) 280-6911
Fax: (801) 280-6955

Authorised official

Name: David Powell
Title: Dentist
Phone: (801) 280-6911

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 344165 (UT)

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Registry record

NPI: 1154862126
Entity type: Organization
NPI issued: 10 Mar 2017
Record last updated: 10 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.