SENIOR SMILES UTAH LLC
NPI 1386277689
Dentist in South Jordan, UT

Active since February 15, 2020
10597 S BEACH COMBER WAY, SOUTH JORDAN, UT 84009(801) 415-6847 Get Directions Write a Review

NPPES record last updated: February 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Senior Smiles Utah Llc NPPES

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

SENIOR SMILES UTAH LLC (NPI 1386277689) is a healthcare organization registered as a dentist in South Jordan, Utah and active in the NPI registry since February 2020. The organization lists Tanner M. Clark, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1386277689
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSENIOR SMILES UTAH LLC
Location Address10597 S BEACH COMBER WAYSouth Jordan, UT 84009-6132
Mailing Address10597 S Beach Comber WaySouth Jordan, UT 84009-6132 · (208) 317-8555
Organization SubpartNo
Authorized OfficialTanner M. ClarkOwner/dentist · (801) 415-6847
Enumeration DateFebruary 15, 2020
NPI 1386277689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

10597 S BEACH COMBER WAY, South Jordan, UT 84009

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

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.

Clinic/Center (Dental)
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Dentist
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Dentist
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Dentist (General Practice)
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009

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 Senior Smiles Utah LLC's NPI number?

The NPI number for Senior Smiles Utah LLC is 1386277689. It was assigned to this organization in the NPPES registry on February 15, 2020.

Where is Senior Smiles Utah LLC located?

Senior Smiles Utah LLC is located at 10597 S Beach Comber Way, South Jordan, UT 84009. The listed phone number is (801) 415-6847.

What is Senior Smiles Utah LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Senior Smiles Utah LLC was last updated on February 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.