Senior Smiles Utah LLC
NPI 1386277689ActiveOrganization· Dentist· South Jordan, UT
Dentist in South Jordan, Utah, registered in NPPES in February 2020. The authorized official on file is Tanner M. Clark, DMD, Owner/Dentist.
Overview
| NPI | 1386277689 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2020 |
| Last updated in NPPES | Feb 15, 2020 |
| Certified by provider | Feb 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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