OrganizationActive
Jordan Landing Pediatrics
NPI 1528374337 · Periodontics · West Jordan, UT
Provider details
- NPI number
- 1528374337
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- R Johansen, Doctor(801) 280-9595
Specialties & taxonomies
Dental Providers
Practice location
7613 Jordan Landing Blvd
Ste 210
West Jordan, UT 84084-1972
Phone: (801) 280-9595
Fax: (801) 280-1169
Approximate (ZIP-level) locationGet directions
Mailing address
7613 Jordan Landing Blvd
West Jordan, UT 84084-1972
Registry dates
- Enumerated
- 2010-08-31
- Last updated
- 2010-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.