Bountiful Ridge Dental, Llc

LBN: Bountiful Ridge Dental, Llc
Bountiful Ridge Dental, Llc is an health care organization with primary practice located at 415 Medical Dr Ste A200 , Bountiful UT 84010-4970. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bountiful Ridge Dental, Llc can be contacted via phone (801) 203-0290, or through Mcgowan, Mark Spencer via phone (801) 203-0290.

Contact Information

Primary practice address
415 Medical Dr Ste A200 Bountiful UT 84010-4970
Phone: (801) 203-0290
Fax: (801) 872-4329
Website:
Map and Directions
Authorized official contact:
Name: Mcgowan, Mark Spencer Doctor of Dental Medicine (DMD)
Phone: (801) 203-0290

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8008797 Utah

Profile Details

NPI number 1508387564
LBN Legal business name Bountiful Ridge Dental, Llc
DBA Doing business as
Authorized official Mcgowan, Mark Spencer Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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