Bountiful Ridge Dental, LLC
Bountiful Ridge Dental, LLC is a healthcare organization registered as General Practice Dentistry in Bountiful, UT, holding Type 2 (organization) NPI 1508387564 since 2017. The authorized official on file is Mark Mcgowan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508387564 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bountiful Ridge Dental, LLC |
| Practice address | 415 MEDICAL DR STE A200, Bountiful, UT, 84010 |
| Phone | 8012030290 |
| Fax | 8018724329 |
| Enumeration date | 2017-06-29 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Mark Mcgowan |
|---|---|
| Title | Owner |
| Phone | 8012030290 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 8008797 | UT |
Copy-ready billing details
Provider: Bountiful Ridge Dental, LLC NPI: 1508387564 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 415 MEDICAL DR STE A200, Bountiful, UT, 84010
Verify this record
Cross-check NPI 1508387564 against the authoritative CMS record: view Bountiful Ridge Dental, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Bountiful Ridge Dental, LLC?
Who is the authorized official for Bountiful Ridge Dental, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.