ABUNDANT DENTAL CARE, P.C. (NPI# 1306499249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306499249 |
| Entity Type | Organization |
| Organization Name | ABUNDANT DENTAL CARE, P.C. |
| Other Organization Name | ABUNDANT DENTAL CARE OF HERRIMAN |
| Practice Address |
5089 West 12600 South Herriman UT 84096 |
| Mailing Address |
793 E Winchester St Murray UT 84107-7564 |
| Practice Telephone | 8018652725 |
| Mailing Telephone | 8012819517 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | ANNMARIE WILSON (EXECUTIVE) |
| Authorized Official Telephone | 5404199422 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABUNDANT DENTAL CARE, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Abundant Dental Care of Granger Riverton | Doing Business As Name - Organization |
| Abundant Dental Care of Herriman | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1235778960 | Abundant Dental Care, P.C. | Dentist | 5688 W 7800 S Ste 104, West Jordan, UT 84081-5404 | 2019-12-28 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1255981254 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 1, Sandy, UT 84070-2580 | 2019-09-12 |
| 1093329187 | Abundant Dental Care, P.C. | Dentist | 793 E Winchester St, Murray, UT 84107-7564 | 2020-09-04 |
| 1760093421 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2020-08-14 |
| 1346760097 | Abundant Dental Care, P.C. | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2017-06-23 |
| Street Address |
5089 WEST 12600 SOUTH |
| City | HERRIMAN |
| State | UT |
| Zip Code | 84096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| 1730278946 | Rebecca Mostatab | Dentist | 4531 W Partridgehill Lane, Suite F-110, Riverton, UT 84096 | 2006-10-12 |
| Find all providers in zip 84096 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683172 | Kurt Ericksen | Dentist | 5532 W Herriman Main St Ste 210, Herriman, UT 84096-5830 | 2019-05-06 |
| 1720430176 | Daniel Haynie | Dentist | 5304 W Paragon Pl, Herriman, UT 84096-5414 | 2016-07-11 |
| 1427595297 | Silver Summit Dental | Dentist | 5734 W 13400 S, #1, Herriman, UT 84096-6953 | 2017-01-31 |
| 1336417104 | Jeffrey T. Lambert | Dentist | 5734 W 13400 S, Suite 100, Herriman, UT 84096-6953 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1689282089 | Nathan Elmer Kobold | Dentist | 188 E 2050 S Apt B4, Bountiful, UT 84010-5456 | 2020-07-21 |
| 1205454113 | Dylan Lane Harmon | Dentist | 1445 N 400 E # 3a, North Logan, UT 84341-7564 | 2020-07-07 |
| 1902420318 | Cory Johnson | Dentist | 170 E Commonwealth Ave, South Salt Lake, UT 84115-2712 | 2020-06-01 |
| 1538783196 | Trevor Garrett | Dentist | 182 Ashe Dr, Brigham City, UT 84302-2788 | 2020-05-29 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1770135923 | Mcconnell Dental Care IIi | Dentist | 263 Country Clb Ste 102, Stansbury Park, UT 84074-9602 | 2019-07-09 |
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1396302055 | Shauniell Dearing | Dentist | 254 Birmingham Ln, North Salt Lake, UT 84054-6035 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.