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SG DENTAL PLLC
NPI 1831721240
Clinic/Center - Dental in Wendover, UT

Active since February 05, 2020
225 SKYHAWK DR, WENDOVER, UT 84083(801) 718-6881 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, Feb 5, 2020 (2 updates tracked since 2020).

About Sg Dental Pllc NPPES

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

SG DENTAL PLLC (NPI 1831721240), doing business as Bonneville Dental, is a healthcare organization registered as a dental in Wendover, Utah and active in the NPI registry since February 2020. The organization lists James Spencer Gruber, Dentist, as its authorized official.

NPPES Registry Identity

NPI1831721240
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSG DENTAL PLLC
Location Address225 SKYHAWK DRWendover, UT 84083-4501
Mailing Address3569 W 10305 SSouth Jordan, UT 84095-8213 · (435) 665-7730
Phone(801) 718-6881
Organization SubpartNo
Authorized OfficialJames Spencer GruberDentist · (435) 665-7730
Enumeration DateFebruary 5, 2020
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1831721240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
225 SKYHAWK DR, Wendover, UT 84083
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Other Names 1

Doing Business AsBonneville Dental

Other Providers at the Same Location NPPES

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

JAMES SPENCER GRUBER DMD
Dentist (General Practice)
225 SKYHAWK DR
WENDOVER, UT 84083
Tooele County (435) 665-7730

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 Sg Dental PLLC's NPI number?

The NPI number for Sg Dental PLLC is 1831721240. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as Bonneville Dental.

Where is Sg Dental PLLC located?

Sg Dental PLLC is located at 225 Skyhawk Dr, Wendover, UT 84083. The listed phone number is (801) 718-6881.

What is Sg Dental PLLC'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 Sg Dental PLLC was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.