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NPI 1063052256

OrganizationActive

Abundant Dental Care, P.C.

NPI 1063052256 · Public Health Dentistry · Holladay, UT

Provider details

NPI number: 1063052256
Entity type: Organization
Primary specialty: Public Health DentistryDental Providers
Parent organization: Abundant Dental Care
Authorized official: Tracie Sullivan, Accounts Receivable, Director

Practice location

1548 E 4500 S #104

Holladay, UT 84117

Phone: (801) 272-8051

More UT providers

Mailing address

1548 E 4500 S #104

Holladay, UT 84117

Registry dates

Enumerated: 2020-01-15
Last updated: 2021-06-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abundant Dental Care, P.C. — NPI 1063052256, Holladay, UT | NPI Central