Bianca Bernardo Afonso Aguirres, DMD
Dentist in West Jordan, UT. Individual provider (NPI-1).
NPI number1487580569
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1487580569
- Entity type
- Individual (NPI-1)
- Name
- Bianca Bernardo Afonso Aguirres
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2026
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 | 14290510-9926 | UT | Yes |
Practice location
6973 S Cougar Ln Ste DWest Jordan, UT 84084-7927
Phone 801-982-0332
Mailing address
2354 E Spring StEagle Mountain, UT 84005-6543
Phone 385-270-7374
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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.
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All 34 Dentist providers in West Jordan · All 2,143 providers in West Jordan
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