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Abundant Dental Care, P.C.

NPI 1306499249ActiveOrganization· Dentist· Herriman, UT

Dentist in Herriman, Utah, registered in NPPES in July 2019, part of Abundant Dental Care, P.C. The authorized official on file is Annmarie Wilson, Executive.

Overview

NPI1306499249
StatusActive
Entity typeOrganization (subpart)
Parent organizationAbundant Dental Care, P.C.
NPI issuedJul 19, 2019
Last updated in NPPESJun 29, 2021
Certified by providerJun 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Herriman

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