BURG PEDIATRIC DENTISTRY (NPI# 1003364852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003364852 |
| Entity Type | Organization |
| Organization Name | BURG PEDIATRIC DENTISTRY |
| Practice Address |
678 E Vine St Ste 10 Murray UT 84107-5546 |
| Practice Telephone | 8019184135 |
| Mailing Telephone | 8019184135 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | MARCI NICOL (VP OF OPERATIONS) |
| Authorized Official Telephone | 8019184135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
678 E VINE ST STE 10 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123617 | Jeff S Burg | Dentist | 678 E Vine St, 12, Murray, UT 84107 | 2006-07-28 |
| 1184045049 | Vine Street Pediatric Dentistry | Clinic/Center | 678 E Vine St, Suite #12, Murray, UT 84107-5546 | 2013-12-19 |
| 1962609644 | Vine Street Pediatric Dentistry | Dentist | 678 E Vine St, Suite #12, Murray, UT 84107-5546 | 2007-06-27 |
| 1003919358 | Kurt D Christensen | Dentist | 678 E Vine St, 12, Murray, UT 84107-5546 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669928909 | Jordan Ridge Pediatric Dentistry | Clinic/Center | 678 E. Vine Street, Suite #10, Murray, UT 84107 | 2016-08-28 |
| 1104974161 | Gary A. Carter, D.d.s., M.s., PC | Clinic/Center | 6052 S State St, Suite 7, Murray, UT 84107-7225 | 2007-01-08 |
| 1295342202 | Vortex LLC | Clinic/Center | 6095 S Fashion Blvd Ste 200, Murray, UT 84107-7395 | 2020-09-24 |
| 1376088906 | 3980 S 700 E Dental LLC | Clinic/Center | 622 E 4500 S, Ste 201, Murray, UT 84107 | 2017-01-05 |
| 1184045049 | Vine Street Pediatric Dentistry | Clinic/Center | 678 E Vine St, Suite #12, Murray, UT 84107-5546 | 2013-12-19 |
| 1750576278 | Gerald L. Torgeson D.d.s., P.C. | Clinic/Center | 164 E 5900 S, Suite A-111, Murray, UT 84107-7256 | 2007-09-07 |
| 1295953354 | Baugh Orthodontics | Clinic/Center | 164 E 5900 S, Ste A-109, Murray, UT 84107-7256 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609015 | Corner Clinic Dental Stg | Clinic/Center | 2351 S River Rd Ste 4, St George, UT 84790-8749 | 2020-11-04 |
| 1124637665 | Pony Express Dental of Saratoga Springs | Clinic/Center | 2253 S. Talons Cove Drive, Saratoga Springs, UT 84045-8400 | 2020-07-30 |
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1114549573 | Richfield Family Dental | Clinic/Center | 820 N Main St Ste 1, Richfield, UT 84701-1893 | 2020-05-08 |
| 1639790918 | Nic-utah County, LLC | Clinic/Center | 2230 N University Pkwy Ste 8b, Provo, UT 84604-6700 | 2020-04-28 |
| 1063032225 | Haven Dental LLC | Clinic/Center | 2685 N 1000 W, Pleasant View, UT 84414-2660 | 2020-04-17 |
| 1972139681 | Kayscreek Dental Pllc | Clinic/Center | 349 N Flint St, Kaysville, UT 84037-9807 | 2020-03-14 |
| 1831721240 | Sg Dental Pllc | Clinic/Center | 225 Skyhawk Dr, Wendover, UT 84083-4501 | 2020-02-05 |
| 1740829993 | V and S Dental LLC | Clinic/Center | 3816 W 13400 S Ste 200, Riverton, UT 84065-7888 | 2020-01-04 |
| 1124664834 | Simply Smiles Dental Utah | Clinic/Center | 2592 S 5600 W Ste 102, West Valley City, UT 84120-1274 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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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.