Smart Smiles Utah
NPI 1679055081ActiveOrganization· Dentist· South Jordan, UT
Dentist in South Jordan, Utah, registered in NPPES in August 2018. The authorized official on file is Tanner M. Clark, DMD, Manager.
Overview
| NPI | 1679055081 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2018 |
| Last updated in NPPES | Aug 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 9860439-9921 | 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 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 |
|---|
Other Dentist providers in South Jordan
- 1245814169
- 1699317685
- 1801198551
- 1225673429
- 1417315656
- 1821621129
- 1417363821
- 1386277689
- 1336706043
- 1225249683
- 1578689055
- 1073622817