South Jordan Pdc Pllc

LBN: South Jordan Pdc Pllc
South Jordan Pdc Pllc is an health care organization with primary practice located at 10458 S Redwood Rd , South Jordan UT 84095-8501. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty. South Jordan Pdc Pllc can be contacted via phone (801) 302-8989, or through Chavez, Juan Carlos via phone (801) 302-8989.

Contact Information

Primary practice address
10458 S Redwood Rd South Jordan UT 84095-8501
Phone: (801) 302-8989
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Juan Carlos Doctor of Dental Medicine (DMD)
Phone: (801) 302-8989

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1336706043
LBN Legal business name South Jordan Pdc Pllc
DBA Doing business as
Authorized official Chavez, Juan Carlos Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2019
Last updated May 29th, 2019 - 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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