JORDAN LANDING PEDIATRIC DENTISTRY DDS
NPI 1265215347
Dentist - Pediatric Dentistry in West Jordan, UT

Q: What is Jordan Landing Pediatric Dentistry Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 14, 2023

7613 S JORDAN LANDING BLVD STE 210, WEST JORDAN, UT 84084(801) 280-9595 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Landing Pediatric Dentistry Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LANDING PEDIATRIC DENTISTRY DDS (NPI 1265215347) is a healthcare organization registered as a pediatric dentistry in West Jordan, Utah and active in the NPI registry since August 2023. The organization lists Ryan Richard Johansen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1265215347

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameJORDAN LANDING PEDIATRIC DENTISTRY DDS

Location Address7613 S JORDAN LANDING BLVD STE 210West Jordan, UT 84084-1973

Mailing Address7613 S Jordan Landing Blvd Ste 210West Jordan, UT 84084-1973 · (385) 209-5038 · Fax (801) 280-1169

Phone(801) 280-9595

Organization SubpartNo

Authorized OfficialRyan Richard JohansenDentist · (801) 280-9595

Enumeration DateAugust 14, 2023

NPPES CertifiedAugust 14, 2023

✔ NPI 1265215347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7613 S JORDAN LANDING BLVD STE 210, West Jordan, UT 84084

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Other Names 1

Doing Business AsJordan Landing Pediatric Dentistry Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Landing Pediatric Dentistry Dds's NPI number?

The NPI number for Jordan Landing Pediatric Dentistry Dds is 1265215347. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Jordan Landing Pediatric Dentistry Dds located?

Jordan Landing Pediatric Dentistry Dds is located at 7613 S Jordan Landing Blvd Ste 210, West Jordan, UT 84084. The listed phone number is (801) 280-9595.

What is Jordan Landing Pediatric Dentistry Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jordan Landing Pediatric Dentistry Dds was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.