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

Copper Creek Dental, PC

Organization General Practice Dentistry · NPI 1316962079

Copper Creek Dental, PC is a General Practice Dentistry in West Jordan, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3078 W 7800 S Ste 7-B
West Jordan, UT 84088-3707
Phone: (801) 280-1911
Fax: (801) 255-2394
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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 373483-9922 (UT)

Record details

NPI number1316962079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Staley — President/Owner · (801) 280-1911
NPI enumeratedJuly 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3078 W 7800 S, Ste 7-B, West Jordan, UT 84088-3707

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