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1366392441 NPI number — SWEDENT DENTAL PC

NPI Number: 1366392441
Health Care Provider/Practitioner: SWEDENT DENTAL PC

Information about “1366392441” NPI (SWEDENT DENTAL PC) exists in 1366392441 in HTML format HTML  |  1366392441 in plain Text format TXT  |  1366392441 in PDF (Portable Document Format) PDF  |  1366392441 in an XML format XML  formats.

NPI Number : 1366392441 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366392441",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SWEDENT DENTAL PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4066 S 4000 W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST VALLEY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84120-4040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-449-1232",
    "MailingAddressFaxNumber": "385-485-8847",
    "FirstLinePracticeLocationAddress": "4066 S 4000 W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST VALLEY",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84120-4040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-449-1232",
    "PracticeLocationAddressFaxNumber": "385-485-8847",
    "EnumerationDate": "01/29/2026",
    "LastUpdateDate": "01/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NOH",
    "AuthorizedOfficialFirstName": "BONGKOOG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "801-449-1232",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD0000X",
        "TaxonomyName": "Dental Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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