DAYBREAK PDC PLLC (NPI# 1699317685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699317685 |
| Entity Type | Organization |
| Organization Name | DAYBREAK PDC PLLC |
| Practice Address |
4040 West Daybreak Pkwy Suite 103 South Jordan UT 84009-1286 |
| Mailing Address |
Po Box 970325 Orem UT 84097-0309 |
| Practice Telephone | 3852794334 |
| Practice Fax Number | 3852123268 |
| Mailing Telephone | 8013053460 |
| Mailing Fax Number | 8013356551 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | JACOB WARNER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3852794334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Platinum Dental Care | Doing Business As Name - Organization |
| Street Address |
4040 WEST DAYBREAK PKWY SUITE 103 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84009-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347061 | Pony Express Dental Daybreak, LLC | Clinic/Center | 5396 W Daybreak Parkway, South Jordan, UT 84009 | 2017-06-30 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
| 1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
| 1366079097 | Live Well Counseling Services Pllc | Social Worker | 3654 W 9800 S, South Jordan, UT 84009-3260 | 2020-03-24 |
| Find all providers in zip 84009 | ||||
| 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 |
|---|---|---|---|---|
| 1518457118 | Christopher L Jacobsen | Dentist | 3473 W S Jordan Pkwy Ste 2, South Jordan, UT 84095-6016 | 2018-05-18 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1417315656 | Petersen Dental LLC | Dentist | 10458 S Redwood Rd, South Jordan, UT 84095-8501 | 2016-02-02 |
| 1134564388 | Daniel Jed Snedaker | Dentist | 11535 S Jordan Bend Rd, South Jordan, UT 84095-8066 | 2013-05-01 |
| 1972816288 | Michael R Cottam | Dentist | 4775 W Daybreak Pkwy, Suite 103, South Jordan, UT 84095-5968 | 2010-07-16 |
| 1881881134 | J. Michael Dunn | Dentist | 11659 S Redwood Rd, South Jordan, UT 84095-7808 | 2007-10-01 |
| 1225249683 | Southridge Pediatric Dentistry | Dentist | 2651 W. 10400 S. #103, South Jordan, UT 84095 | 2007-05-25 |
| 1245317759 | Matthew Mcinnes | Dentist | 3556 W 9800 S Ste 102, South Jordan, UT 84095-3225 | 2006-11-01 |
| 1912090804 | Stuart Lindsay | Dentist | 3672 W South Jordan Pkwy, Suite D104, South Jordan, UT 84095-7171 | 2006-10-02 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84009 |
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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.