Organization
SIMPLY DENTAL OF SOUTH JORDAN, LLC
Active
Parent organization
SIMPLY DENTAL GROUP, LLC
Other names
South Jordan Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLY DENTAL GROUP, LLC
Authorized official
MR. MARCUS H WEBB (OWNER/BUSINESS DIRECTOR)
(801) 915-5947
Entity
Organization
Contact information
Practice address
1268 W SOUTH JORDAN PKWY, SUITE 302, SOUTH JORDAN, UT 84095-4652
(801) 253-3900
(801) 253-3342
Mailing address
1268 W SOUTH JORDAN PKWY, SUITE 302, SOUTH JORDAN, UT 84095-4652
(801) 253-3900
(801) 253-3342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
139125
UT
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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