Healthcare Provider Details

I. General information

NPI: 1629364401
Provider Name (Legal Business Name): ADAM CLARK BURR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2011
Last Update Date: 09/01/2026
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

Practice location:
  • Phone: 801-253-1500
  • Fax: 801-944-1666
Mailing address:
  • Phone: 801-253-1500
  • Fax: 801-944-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6434261-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: