Jordan Landing Pediatric Dentistry Dds

LBN: Jordan Landing Pediatric Dentistry Dds
Jordan Landing Pediatric Dentistry Dds is an health care organization with primary practice located at 7613 S Jordan Landing Blvd Ste 210 , West Jordan UT 84084-1973. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Jordan Landing Pediatric Dentistry Dds can be contacted via phone (801) 280-9595, or through Johansen, Ryan Richard via phone (801) 280-9595.

Contact Information

Primary practice address
7613 S Jordan Landing Blvd Ste 210 West Jordan UT 84084-1973
Phone: (801) 280-9595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johansen, Ryan Richard Doctor of Dental Surgery (DDS)
Phone: (801) 280-9595

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1265215347
LBN Legal business name Jordan Landing Pediatric Dentistry Dds
DBA Doing business as
Authorized official Johansen, Ryan Richard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about last year

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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