# COPPER COVE PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134536907
- **Authorized official:** MR. TROY HARDY DMD (OWNER)
- **Authorized official phone:** (801) 446-2080

## Contact information

- **Practice address:** 3473 W SOUTH JORDAN PKWY STE 3, SOUTH JORDAN, UT 84095-6016
- **Practice address phone:** (801) 446-2080
- **Practice address fax:** (801) 446-2757
- **Mailing address:** 3473 W SOUTH JORDAN PKWY STE 3, SOUTH JORDAN, UT 84095-6016
- **Mailing address phone:** (801) 446-2080
- **Mailing address fax:** (801) 446-2757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 07/14/2014