Simply Dental of South Jordan, LLC
NPI 1093138448ActiveOrganization· Dentist, General Practice· South Jordan, UT
Dentist, General Practice in South Jordan, Utah, registered in NPPES in January 2014, part of Simply Dental Group, LLC. The authorized official on file is Marcus H. Webb, Owner/Business Director.
Overview
| NPI | 1093138448 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Simply Dental Group, LLC |
| NPI issued | Jan 21, 2014 |
| Last updated in NPPES | Jan 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 139125 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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