COPPER CREEK DENTAL, PC
NPI 1316962079
Dentist - General Practice in West Jordan, UT

Active since July 13, 2006
3078 W 7800 S, STE 7-B, WEST JORDAN, UT 84088(801) 280-1911(801) 255-2394 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Copper Creek Dental, Pc NPPES

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

COPPER CREEK DENTAL, PC (NPI 1316962079) is a healthcare organization registered as a general practice in West Jordan, Utah and active in the NPI registry since July 2006. The organization lists Robert J Staley, President/owner, as its authorized official.

NPPES Registry Identity

NPI1316962079
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOPPER CREEK DENTAL, PC
Location Address3078 W 7800 S, STE 7-BWest Jordan, UT 84088-3707
Mailing Address3078 W 7800 S, Ste 7-bWest Jordan, UT 84088-3707 · (801) 280-1911 · Fax (801) 255-2394
Fax(801) 255-2394
Organization SubpartNo
Authorized OfficialRobert J StaleyPresident/owner · (801) 280-1911
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1316962079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 373483-9922
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3078 W 7800 S, West Jordan, UT 84088

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3078 W 7800 S
WEST JORDAN, UT 84088
Dentist (General Practice)
3078 W 7800 S, STE 7-B
WEST JORDAN, UT 84088

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 Copper Creek Dental, PC's NPI number?

The NPI number for Copper Creek Dental, PC is 1316962079. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Copper Creek Dental, PC located?

Copper Creek Dental, PC is located at 3078 W 7800 S Ste 7-B, West Jordan, UT 84088. The listed phone number is (801) 280-1911.

What is Copper Creek Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Copper Creek Dental, PC accept?

Health plans from UnitedHealthcare list Copper Creek Dental, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Copper Creek Dental, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.