OrganizationActive
Abundant Dental Care, P.C.
NPI 1063052256 · Public Health Dentistry · Holladay, UT
Abundant Dental Care, P.C. is a Public Health Dentistry organization in Holladay, UT (NPI 1063052256).
Provider details
- NPI number
- 1063052256
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Parent organization
- Abundant Dental Care
- Organization subpart
- Yes
- Authorized official
- Tracie Sullivan, Accounts Receivable, Director(801) 849-1045
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1548 E 4500 S #104
Holladay, UT 84117
Phone: (801) 272-8051
Street-level locationGet directions
Mailing address
1548 E 4500 S #104
Holladay, UT 84117
Other names (DBA / former)
- Doing business as
- Abundant Dental Care in Holladay
- Doing business as
- Abundant Dental Care in Holladay
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Frequently asked questions
- What is Abundant Dental Care, P.C.'s NPI number?
- Abundant Dental Care, P.C.'s National Provider Identifier (NPI) is 1063052256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abundant Dental Care, P.C.?
- Abundant Dental Care, P.C. is classified in the NPPES registry as Public Health Dentistry (Dental Providers).
- Where is Abundant Dental Care, P.C. located?
- Abundant Dental Care, P.C.'s practice location on file with NPPES is 1548 E 4500 S #104, Holladay, UT 84117.
- What is Abundant Dental Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Abundant Dental Care, P.C. is (801) 272-8051.
- Who is the authorized official for Abundant Dental Care, P.C.?
- The authorized official listed on Abundant Dental Care, P.C.'s NPPES record is Tracie Sullivan, Accounts Receivable, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abundant Dental Care, P.C.'s NPI active?
- Yes — Abundant Dental Care, P.C.'s NPI (1063052256) is active in the NPPES registry as of the last update on 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.