Professional Dental Riverton LLC
Professional Dental Riverton LLC is a Public Health Dentistry in Riverton, Utah. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13686 S Redwood Rd Ste CRiverton, UT 84065-5907
Phone: (801) 446-8100
Fax: (801) 785-4030
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health Dentistry (primary) | Taxonomy 1223D0001X |
|---|---|
| Dental Hygienist | Taxonomy 124Q00000X |
| Dental Clinic/Center | Taxonomy 261QD0000X |
Record details
| NPI number | 1902688492 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Hack — Owner · (801) 636-0110 |
| NPI enumerated | October 18, 2023 |
| Last updated in NPPES | October 18, 2023 |
| Certification date | October 18, 2023 |
| Mailing address | Po Box 1806, Orem, UT 84059-1806 |