Bountiful Ridge Dental, LLC
NPI 1508387564ActiveOrganization· Dentist, General Practice· Bountiful, UT
Dentist, General Practice in Bountiful, Utah, registered in NPPES in June 2017. The authorized official on file is Mark Spencer McGowan, DMD, Owner.
Overview
| NPI | 1508387564 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 8008797 | 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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