SOUTH JORDAN PDC PLLC
NPI 1336706043
Dentist in South Jordan, UT

Q: What is South Jordan Pdc PLLC's NPI number?

The NPI number for South Jordan Pdc PLLC is 1336706043. It was assigned to this organization in the NPPES registry on May 29, 2019. The provider is doing business as Cornerstone Dental.

Q: What is South Jordan Pdc PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 29, 2019

10458 S REDWOOD RD, SOUTH JORDAN, UT 84095(801) 302-8989 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Jordan Pdc Pllc NPPES

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

SOUTH JORDAN PDC PLLC (NPI 1336706043), doing business as Cornerstone Dental, is a healthcare organization registered as a dentist in South Jordan, Utah and active in the NPI registry since May 2019. The organization lists Juan Carlos Chavez, Owner, as its authorized official.

NPPES Registry Identity

NPI1336706043

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTH JORDAN PDC PLLC

Location Address10458 S REDWOOD RDSouth Jordan, UT 84095-8501

Mailing AddressPo Box 970113Orem, UT 84097-0309 · (801) 305-3460 · Fax (801) 335-6551

Phone(801) 302-8989

Organization SubpartNo

Authorized OfficialJuan Carlos ChavezOwner · (801) 302-8989

Enumeration DateMay 29, 2019

✔ NPI 1336706043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

10458 S REDWOOD RD, South Jordan, UT 84095

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Other Names 1

Doing Business AsCornerstone Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

PETERSEN DENTAL LLC

Dentist

10458 S REDWOOD RD
SOUTH JORDAN, UT 84095

Salt Lake County (801) 302-8989

RYAN HUNTER DDS

Dentist (General Practice)

10458 S REDWOOD RD
SOUTH JORDAN, UT 84095

Salt Lake County (801) 312-8085

RYAN GLEN FRANDSEN RDH

Dental Hygienist

10458 S REDWOOD RD
SOUTH JORDAN, UT 84095

Salt Lake County (801) 312-8085

DR. KEVIN STAPLETON DDS

Dentist

10458 S REDWOOD RD
SOUTH JORDAN, UT 84095

Salt Lake County (801) 312-8085

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 South Jordan Pdc PLLC's NPI number?

The NPI number for South Jordan Pdc PLLC is 1336706043. It was assigned to this organization in the NPPES registry on May 29, 2019. The provider is doing business as Cornerstone Dental.

Where is South Jordan Pdc PLLC located?

South Jordan Pdc PLLC is located at 10458 S Redwood Rd, South Jordan, UT 84095. The listed phone number is (801) 302-8989.

What is South Jordan Pdc PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does South Jordan Pdc PLLC accept?

Health plans from UnitedHealthcare list South Jordan Pdc PLLC 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 South Jordan Pdc PLLC was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.