Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Stansbury Dental and Implant Center Pdc PLLC

Organization Dentist · NPI 1013358449

Stansbury Dental and Implant Center Pdc PLLC provides Dentist services in Stansbury Park, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

263 Country Club Dr Ste 103
Stansbury Park, UT 84074-9600
Phone: (432) 882-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dentist Taxonomy 122300000X · Licence 341237 (UT)
Periodontics Taxonomy 1223P0300X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1013358449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Warner — Credentialing Manager · (801) 691-1701
Other names Stansbury Dental And Implant Center
NPI enumeratedJuly 15, 2013
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing addressPo Box 970596, Orem, UT 84097-0309

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