DR. RUSSELL J GUYMON (NPI# 1003133174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003133174 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL J GUYMON |
| Credential | D.D.S., M.S. |
| Practice Address |
191 N 200 E Logan UT 84321-4605 |
| Practice Telephone | 4357525991 |
| Mailing Telephone | 4357525991 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2014-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8908035 | UT | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-4402-OR | ID | Dental Providers |
| Street Address |
191 N 200 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
| Find all providers in zip 84321 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553785 | Raymond Scott Hlavaty | Dentist | 150 E 200 N Ste A, Logan, UT 84321-4036 | 2019-02-05 |
| 1942683214 | Poole and Willis Orthodontics | Dentist | 1340 N 600 E Ste 2, Logan, UT 84341-2475 | 2015-07-06 |
| 1023186111 | Raymond Scott Hlavaty | Dentist | 150 E 200 No, Ste A, Logan, UT 84321 | 2006-11-30 |
| 1578679205 | Morris N Poole | Dentist | 1340 North 600 East, Suite 2, Logan, UT 84341 | 2006-08-23 |
| 1003822032 | Ralph K Bair | Dentist | 1445 N 400 E, Suite 3, Logan, UT 84341-7564 | 2006-07-31 |
| 1285181131 | Thomson Orthodontics | Dentist | 1445 N 400 E Ste 3, Logan, UT 84341-7564 | 2016-09-08 |
| 1164896312 | William Alder | Dentist | 160 S Mulberry St, Logan, OH 43138 | 2015-11-25 |
| 1194023473 | Morris Lewis Poole | Dentist | 1340 North 600 East, Suite #2, Logan, UT 84341 | 2011-03-10 |
| 1033310750 | W. Daniel Alder Dds Ms Inc | Dentist | 160 S Mulberry St, Logan, OH 43138-1292 | 2007-05-30 |
| 1114128022 | Tim B Belnap | Dentist | 965 S 100 W, Suite 100, Logan, UT 84321-6062 | 2007-05-29 |
| Find all providers in LOGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.