OrganizationActive
South Jordan Pdc PLLC
NPI 1336706043 · Dentist · South Jordan, UT
South Jordan Pdc PLLC is a Dentist organization in South Jordan, UT (NPI 1336706043).
Provider details
- NPI number
- 1336706043
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Juan Chavez, Owner(801) 302-8989
Specialties & taxonomies
Dental Providers
- Periodontics1223P0300X
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
10458 S Redwood Rd
South Jordan, UT 84095-8501
Phone: (801) 302-8989
Street-level locationGet directions
Mailing address
Po Box 970113
Orem, UT 84097-0309
Other names (DBA / former)
- Doing business as
- Cornerstone Dental
Registry dates
- Enumerated
- 2019-05-29
- Last updated
- 2019-05-29
Frequently asked questions
- What is South Jordan Pdc PLLC's NPI number?
- South Jordan Pdc PLLC's National Provider Identifier (NPI) is 1336706043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Jordan Pdc PLLC?
- South Jordan Pdc PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is South Jordan Pdc PLLC located?
- South Jordan Pdc PLLC's practice location on file with NPPES is 10458 S Redwood Rd, South Jordan, UT 84095-8501.
- What is South Jordan Pdc PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Jordan Pdc PLLC is (801) 302-8989.
- Who is the authorized official for South Jordan Pdc PLLC?
- The authorized official listed on South Jordan Pdc PLLC's NPPES record is Juan Chavez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Jordan Pdc PLLC's NPI active?
- Yes — South Jordan Pdc PLLC's NPI (1336706043) is active in the NPPES registry as of the last update on 2019-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.