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DEREK BURGOYNE DMD
NPI 1871438119
Dentist in South Jordan, UT

Active since April 22, 2026
11501 S 4000 W STE 101, SOUTH JORDAN, UT 84009(801) 701-2120 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Burgoyne Dmd NPPES

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

DEREK BURGOYNE DMD (NPI 1871438119) is an individual dentist in South Jordan, Utah, licensed in Utah (14281827-9926) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1871438119
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDEREK BURGOYNECredential: DMD
Location Address11501 S 4000 W STE 101South Jordan, UT 84009-6028
Mailing Address4508 W Tee Box DrSouth Jordan, UT 84009-2785 · (262) 364-7785
Phone(801) 701-2120
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1871438119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 14281827-9926
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.
11501 S 4000 W STE 101, South Jordan, UT 84009
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Other Providers at the Same Location NPPES 5

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

VANESSA BIKHAZI DDS
Dentist (Periodontics)
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Salt Lake County (801) 701-2120
DR. ALEXANDER HARRIS DDS
Dentist (General Practice)
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Salt Lake County (801) 701-2120
DR. BRENDON THUESON TINGEY DMD
Dentist
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Salt Lake County (801) 701-2120
DENTISTS OF SOUTH JORDAN, LLP
Dentist (General Practice)
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Salt Lake County (801) 701-2120
TINA PATEL
Dentist
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Salt Lake County (017) 012-1208

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 Derek Burgoyne's NPI number?

The NPI number for Derek Burgoyne is 1871438119. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Derek Burgoyne located?

Derek Burgoyne practices at 11501 S 4000 W Ste 101, South Jordan, UT 84009. The listed phone number is (801) 701-2120.

What is Derek Burgoyne'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 Derek Burgoyne was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.