OrganizationActive
Stansbury Dental and Implant Center Pdc PLLC
NPI 1013358449 · Dentist · Stansbury Park, UT
Provider details
- NPI number
- 1013358449
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Warner, Credentialing Manager(801) 691-1701
- License
- 341237 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
- Periodontics1223P0300X
Dental Providers
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
263 Country Club Dr.
Suite 103
Stansbury Park, UT 84074-9600
Phone: (432) 882-2850
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 970596
Orem, UT 84097-0309
Other names (DBA / former)
- Doing business as
- Stansbury Dental and Implant Center
Registry dates
- Enumerated
- 2013-07-15
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.