Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bountiful Ridge Dental, LLC

Organization General Practice Dentistry · NPI 1508387564

Bountiful Ridge Dental, LLC is a General Practice Dentistry in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Medical Dr Ste A200
Bountiful, UT 84010-4970
Phone: (801) 203-0290
Fax: (801) 872-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8008797 (UT)

Record details

NPI number1508387564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark McGowan — Owner · (801) 203-0290
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 21, 2022
Mailing address415 Medical Dr Ste A200, Bountiful, UT 84010-4970

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