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RIVER CROSSING DENTAL PROFESSIONAL CORPORATION NPI 1821516063


NPI Information

NPI: 1821516063
Provider Name: RIVER CROSSING DENTAL PROFESSIONAL CORPORATION

Doing Business As: RIVER CROSSING FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12427 SOUTH 4000 WEST
SUITE #200
RIVERTON, UT
ZIP 84095
Phone: (801) 254-8812
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RIVER CROSSING DENTAL PROFESSIONAL CORPORATION is a dental clinic center in Riverton, UT. RIVER CROSSING DENTAL PROFESSIONAL CORPORATION NPI is 1821516063. The provider is registered as an organization entity type.
The provider Is Doing Business As River Crossing Family Dental.

The provider's business location address is:

12427 SOUTH 4000 WEST
SUITE #200
RIVERTON, UT
ZIP 84095
Phone: (801) 254-8812
Fax: (801) 254-4650

The provider's authorized official is John Peterson .
The authorized official title is Owner/operator and has the following contact phone number (801) 254-8812.

The enumeration date for this NPI number is 9/8/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental7020843UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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