West Jordan Pdc LLC
NPI 1588043780ActiveOrganization· Dentist, General Practice· West Jordan, UT
Dentist, General Practice in West Jordan, Utah, registered in NPPES in May 2015. The authorized official on file is Jacob Warner, Credentialing Manager.
Overview
| NPI | 1588043780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2015 |
| Last updated in NPPES | Jul 6, 2021 |
| Certified by provider | Jul 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7702761-9922 | UT |
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