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

Stansbury Dental and Implant Center Pdc PLLC

Organization Dentist · NPI 1013358449

Stansbury Dental and Implant Center Pdc PLLC is a Dentist in Stansbury Park, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

263 Country Club Dr Ste 103
Stansbury Park, UT 84074-9600
Phone: (432) 882-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dentist Taxonomy 122300000X · Licence 341237 (UT)
Periodontics Taxonomy 1223P0300X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1013358449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Warner — Credentialing Manager · (801) 691-1701
Other names Stansbury Dental And Implant Center
NPI enumeratedJuly 15, 2013
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing addressPo Box 970596, Orem, UT 84097-0309

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