Wasatch Dental Group Llc

LBN: Wasatch Dental Group Llc
Wasatch Dental Group Llc is an health care organization with primary practice located at 1685 W Towne Center Dr , South Jordan UT 84095-8697. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Wasatch Dental Group Llc can be contacted via phone (801) 254-7003, or through Nelson, Dane J via phone (801) 254-7003.

Contact Information

Primary practice address
1685 W Towne Center Dr South Jordan UT 84095-8697
Phone: (801) 254-7003
Fax: (801) 281-8455
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Dane J Doctor of Dental Medicine (DMD)
Phone: (801) 254-7003

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1700409695
LBN Legal business name Wasatch Dental Group Llc
DBA Doing business as
Authorized official Nelson, Dane J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2020
Last updated May 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700409695 NPPES
Utah Other 1164883104 NPI

Popular Providers