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HOLLADAY DENTAL STUDIO PLLC
NPI 1821602137
Dentist - Oral and Maxillofacial Surgery in Holladay, UT

Active since September 03, 2020
4888 S HIGHLAND DR, HOLLADAY, UT 84117(801) 277-9213(385) 770-7196 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holladay Dental Studio Pllc NPPES

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

HOLLADAY DENTAL STUDIO PLLC (NPI 1821602137) is a healthcare organization registered as an oral and maxillofacial surgery in Holladay, Utah and active in the NPI registry since September 2020. The organization lists Andrew Ericksen, Owner, as its authorized official.

NPPES Registry Identity

NPI1821602137
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameHOLLADAY DENTAL STUDIO PLLC
Location Address4888 S HIGHLAND DRHolladay, UT 84117-6007
Mailing Address4888 S Highland DrHolladay, UT 84117-6007 · (801) 277-9213 · Fax (385) 770-7196
Phone(801) 277-9213
Fax(385) 770-7196
Organization SubpartNo
Authorized OfficialAndrew EricksenOwner · (801) 277-9213
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1821602137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4888 S HIGHLAND DR, Holladay, UT 84117
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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

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.

MATTHEW CARMODY DDS
Dentist (General Practice)
4888 S HIGHLAND DR
HOLLADAY, UT 84117
Salt Lake County (801) 997-1137
DR. DARIN ARTHUR DICKERSON D.M.D
Dentist (General Practice)
4888 S HIGHLAND DR
HOLLADAY, UT 84117
Salt Lake County (801) 277-9213
DR. ERIC NORLING DMD
Dentist (General Practice)
4888 S HIGHLAND DR
HOLLADAY, UT 84117
Salt Lake County (801) 997-1137
HOLLADAY DENTAL STUDIO PLLC
Clinic/Center (Dental)
4888 S HIGHLAND DR
HOLLADAY, UT 84117
Salt Lake County (801) 277-9213

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 Holladay Dental Studio PLLC's NPI number?

The NPI number for Holladay Dental Studio PLLC is 1821602137. It was assigned to this organization in the NPPES registry on September 3, 2020.

Where is Holladay Dental Studio PLLC located?

Holladay Dental Studio PLLC is located at 4888 S Highland Dr, Holladay, UT 84117. The listed phone number is (801) 277-9213.

What is Holladay Dental Studio PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Holladay Dental Studio PLLC was last updated on September 3, 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.