Healthcare Provider Details
I. General information
NPI: 1396654992
Provider Name (Legal Business Name): VERA DENTAL OF RIVERTON PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1345 W 12600 S
RIVERTON UT
84065-7297
US
IV. Provider business mailing address
1345 W 12600 S
RIVERTON UT
84065-7297
US
V. Phone/Fax
- Phone: 801-253-1500
- Fax: 801-944-1666
- Phone: 801-253-1500
- Fax: 801-944-1666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
ADAM
CLARK
BURR
Title or Position: OWNER
Credential: DDS
Phone: 801-253-1500