UNIVERSITY OF UTAH DENTAL SERVICES (NPI# 1043668379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668379 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Other Organization Name | UUHC GREENWOOD HEALTH CENTER DENTAL CLINIC |
| Practice Address |
7495 S State St Midvale UT 84047-2013 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8012139590 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | JAMES H BEKKER (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UUHC Greenwood Health Center Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609631 | University of Utah Dental Services | Clinic/Center | 50 N Medical Dr, Clinic 7, Salt Lake City, UT 84132-0001 | 2016-06-08 |
| 1821446279 | University of Utah Dental Services | Clinic/Center | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2016-05-26 |
| 1194119685 | University of Utah Dental Services | Otolaryngology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
| 1184018673 | University of Utah Dental Services | Dentist | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
| 1952794851 | University of Utah Dental Services | Dentist | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2015-03-17 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| Street Address |
7495 S STATE ST |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356363824 | Susan Ann Terry | Internal Medicine | 7495 S State St, Midvale, UT 84047-2013 | 2006-07-24 |
| 1508498221 | Kira Sue Whaley | Nurse Practitioner | 7495 S State St, Midvale, UT 84047-2013 | 2020-02-11 |
| 1821649443 | Joshua Stephen Falk | Social Worker | 7495 S State St, Midvale, UT 84047-2013 | 2019-09-25 |
| 1649829706 | Joshua Newbold | Pharmacist | 7495 S State St, Midvale, UT 84047-2013 | 2019-09-10 |
| 1639726730 | Mikayla Mills | Pharmacist | 7495 S State St, Midvale, UT 84047-2013 | 2019-08-22 |
| 1609341353 | Sasha Yerokhin | Student in an Organized Health Care Education/Training Program | 7495 S State St, Midvale, UT 84047-2013 | 2018-10-09 |
| 1316456940 | Danh Luu | Pharmacist | 7495 S State St, Midvale, UT 84047-2013 | 2017-09-27 |
| 1770023160 | Amber Rose Helmer | Physical Therapist | 7495 S State St, Midvale, UT 84047-2013 | 2017-03-03 |
| 1720532617 | Anthony Stewart Nelson | Nurse Practitioner | 7495 S State St, Midvale, UT 84047-2013 | 2016-08-08 |
| 1538542840 | Tiffany Rose Pulgiano | Nurse Practitioner | 7495 S State St, Midvale, UT 84047-2013 | 2015-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407491 | Creek Capital Surgical LLC | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-04 |
| 1801417597 | Creek Capital-riverton LLC | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-04 |
| 1497376198 | Kays Creek Smilecare LLC | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-04 |
| 1386265239 | Creek Capital Millcreek LLC | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-01 |
| 1194346049 | Creek Capital Trolley Place LLC | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-01 |
| 1033414016 | Dr Lynn Walker Inc | Clinic/Center | 7679 Center Sq, Midvale, UT 84047-7329 | 2011-01-21 |
| 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 |
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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.