Abundant Dental Care, P.C.
NPI 1760093421ActiveOrganization· Dentist, General Practice· Sandy, UT
Dentist, General Practice in Sandy, Utah, registered in NPPES in August 2020, part of Abundant Dental Care, P.C. The authorized official on file is Tracie Sullivan, Director Of Accounts Receivable.
Overview
| NPI | 1760093421 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Abundant Dental Care, P.C. |
| NPI issued | Aug 14, 2020 |
| Last updated in NPPES | Aug 14, 2020 |
| Certified by provider | Aug 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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