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BOUNTIFUL RIDGE DENTAL, LLC
NPI 1508387564
Dentist - General Practice in Bountiful, UT

Active since June 29, 2017
415 MEDICAL DR STE A200, BOUNTIFUL, UT 84010(801) 203-0290(801) 872-4329 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About Bountiful Ridge Dental, Llc NPPES

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

BOUNTIFUL RIDGE DENTAL, LLC (NPI 1508387564) is a healthcare organization registered as a general practice in Bountiful, Utah and active in the NPI registry since June 2017. The organization lists Mark Spencer Mcgowan, Owner, as its authorized official.

NPPES Registry Identity

NPI1508387564
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOUNTIFUL RIDGE DENTAL, LLC
Location Address415 MEDICAL DR STE A200Bountiful, UT 84010-4970
Mailing Address415 Medical Dr Ste A200Bountiful, UT 84010-4970 · (801) 203-0290 · Fax (801) 872-4329
Phone(801) 203-0290
Fax(801) 872-4329
Organization SubpartNo
Authorized OfficialMark Spencer McgowanOwner · (801) 203-0290
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1508387564 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 · 8008797
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.
415 MEDICAL DR STE A200, Bountiful, UT 84010
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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 Bountiful Ridge Dental, LLC's NPI number?

The NPI number for Bountiful Ridge Dental, LLC is 1508387564. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Bountiful Ridge Dental, LLC located?

Bountiful Ridge Dental, LLC is located at 415 Medical Dr Ste A200, Bountiful, UT 84010. The listed phone number is (801) 203-0290.

What is Bountiful Ridge Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bountiful Ridge Dental, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.