# ABUNDANT DENTAL CARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ABUNDANT DENTAL CARE
- **Other names:** Abundant Dental Care in Holladay
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063052256
- **Legal business name:** ABUNDANT DENTAL CARE
- **Authorized official:** TRACIE SULLIVAN (ACCOUNTS RECEIVABLE, DIRECTOR)
- **Authorized official phone:** (801) 849-1045

## Contact information

- **Practice address:** 1548 E 4500 S \#104, HOLLADAY, UT 84117
- **Practice address phone:** (801) 272-8051
- **Mailing address:** 1548 E 4500 S \#104, HOLLADAY, UT 84117
- **Mailing address phone:** (801) 272-8051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2020
- **Last updated:** 06/29/2021