Jordan Valley Dental

Dentist in West Jordan, UT. Organization (NPI-2).

NPI number1366891798

StatusActive

Last updated in NPPESJun 7, 2016

Details

NPI: 1366891798
Entity type: Organization (NPI-2)
Legal business name: Jordan Valley Dental
Organization subpart: No
Enumeration date: Jun 7, 2016
Last updated: Jun 7, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	5926034	UT	Yes

Practice location

7613 S Jordan Landing Blvd Ste 110
West Jordan, UT 84084-1973

Phone 801-282-2323 · Fax 801-282-3440

Mailing address

7613 S Jordan Landing Blvd
West Jordan, UT 84084-1972

Phone 801-282-2323 · Fax 801-282-3440

Authorized official

Brigham G Colton
Owner/Dentist
8012822323

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in West Jordan, UT

All 34 Dentist providers in West Jordan · All 2,143 providers in West Jordan

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