Healthcare Provider Details

I. General information

NPI: 1972431328
Provider Name (Legal Business Name): ALIA AMBER CHAUDHRY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7632 S CAMPUS VIEW DR STE 150
WEST JORDAN UT
84084-5545
US

IV. Provider business mailing address

4632 W SERENDIPITY WAY
SOUTH JORDAN UT
84009-7730
US

V. Phone/Fax

Practice location:
  • Phone: 801-282-4142
  • Fax:
Mailing address:
  • Phone: 540-809-8516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14282071-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: