Copper Creek Dental, Pc

LBN: Copper Creek Dental, Pc
Copper Creek Dental, Pc is an health care organization with primary practice located at 3078 W 7800 S Ste 7-B, West Jordan UT 84088-3707. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Copper Creek Dental, Pc can be contacted via phone (801) 280-1911, or through Staley, Robert J via phone (801) 280-1911.

Contact Information

Primary practice address
3078 W 7800 S Ste 7-B West Jordan UT 84088-3707
Phone: (801) 280-1911
Fax: (801) 255-2394
Website:
Map and Directions
Authorized official contact:
Name: Staley, Robert J Doctor of Dental Medicine (DMD)
Phone: (801) 280-1911

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 373483-9922 Utah

Profile Details

NPI number 1316962079
LBN Legal business name Copper Creek Dental, Pc
DBA Doing business as
Authorized official Staley, Robert J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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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