Jordan Landing Pediatrics is a Periodontology Clinic in West Jordan, Utah. It is located at 7613 Jordan Landing Blvd, Ste 210, West Jordan, UT and its contact number is 801-280-9595. The authorized person for Jordan Landing Pediatrics is Dr. R Ryan Johansen
who is Doctor of the clinic and their contact number is 801-280-9595. Jordan Landing Pediatrics Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Jordan Landing Pediatrics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jordan Landing Pediatrics
Specialization:
Periodontology
Clinic Address:
7613 Jordan Landing Blvd, Ste 210, West Jordan, Utah, 84084-1972
Phone:
801-280-9595
Fax:
801-280-1169
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. R Ryan Johansen
Position:
Doctor
Contact Number:
801-280-9595
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jordan Landing Pediatrics clinic are as mentioned below.
NPI Number:
1528374337
NPI Enumeration Date:
31 Aug, 2010
NPI Last Update On:
31 Aug, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Landing Pediatrics are as mentioned below.
Specialization
License Number
State
Status
Periodontics
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002204002
Medicaid
Nevada
528451522009
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jordan Landing Pediatrics 7613 Jordan Landing Blvd, Ste 210 West Jordan, Utah
Zip:
84084-1972
Phone Number:
801-280-9595
Fax Number:
801-280-1169
Patients can reach Jordan Landing Pediatrics at 7613 Jordan Landing Blvd, Ste 210, West Jordan, Utah or can call to book an appointment on 801-280-9595. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.