West Jordan Modern Dentistry , LLP
NPI 1508134412ActiveOrganization· Dentist, General Practice· West Jordan, UT
Dentist, General Practice in West Jordan, Utah, registered in NPPES in December 2011. The authorized official on file is Christine B. Goodell, DDS, Owner.
Overview
| NPI | 1508134412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2011 |
| Last updated in NPPES | Apr 13, 2022 |
| Certified by provider | Apr 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other general dentists in West Jordan
- 1053520643
- 1053607648
- 1154705960
- 1306920590
- 1336494780
- 1356836589
- 1376083667
- 1376167650
- 1376618314
- 1396236501
- 1396444220
- 1467598995
All 74 general dentists in West Jordan · All general dentists in Utah