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JORDAN RIDGE PEDIATRIC DENTISTRY
NPI 1669928909
Clinic/Center - Dental in Murray, UT

Active since August 28, 2016
678 E. VINE STREET, SUITE #10, MURRAY, UT 84107(801) 918-4135 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Ridge Pediatric Dentistry NPPES

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

JORDAN RIDGE PEDIATRIC DENTISTRY (NPI 1669928909) is a healthcare organization registered as a dental in Murray, Utah and active in the NPI registry since August 2016. The organization lists Marci Nicol, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1669928909
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJORDAN RIDGE PEDIATRIC DENTISTRY
Location Address678 E. VINE STREET, SUITE #10Murray, UT 84107
Mailing Address678 E Vine St, Suite #10Murray, UT 84107-5546 · (801) 918-4135
Phone(801) 918-4135
Organization SubpartNo
Authorized OfficialMarci NicolVp Of Operations · (801) 918-4135
Enumeration DateAugust 28, 2016
✔ NPI 1669928909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
678 E. VINE STREET, Murray, UT 84107
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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 Ridge Pediatric Dentistry's NPI number?

The NPI number for Jordan Ridge Pediatric Dentistry is 1669928909. It was assigned to this organization in the NPPES registry on August 28, 2016.

Where is Jordan Ridge Pediatric Dentistry located?

Jordan Ridge Pediatric Dentistry is located at 678 E. Vine Street Suite #10, Murray, UT 84107. The listed phone number is (801) 918-4135.

What is Jordan Ridge Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jordan Ridge Pediatric Dentistry was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.