DR. BRET L CRANDALL (NPI# 1073587093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073587093 |
| Entity Type | Individual |
| Full Name | DR. BRET L CRANDALL |
| Credential | DDS |
| Practice Address |
609 East 400 South Springville UT 84663 |
| Practice Telephone | 8014897500 |
| Practice Fax Number | 8014897144 |
| Mailing Telephone | 8014897500 |
| Mailing Fax Number | 8014897144 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1445569923 | UT | Dental Providers |
| Street Address |
609 EAST 400 SOUTH |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548664055 | Northeast Alabama Dental, PC | Dentist | 106 Legacy Park Way, Springville, AL 35146 | 2014-10-13 |
| 1538456306 | Asay Dental | Dentist | 330 E 400 S Ste 3, Springville, UT 84663-2083 | 2011-06-30 |
| 1568684470 | Mark Crandall Fullmer | Dentist | 225 East 400 South, Springville, UT 84663 | 2007-05-02 |
| 1902948342 | Daniel Whittle Asay | Dentist | 330 E. 400 S, Ste #3, Springville, UT 84663 | 2007-02-13 |
| 1902995095 | Joseph Vincent Ronderos Sr. | Dentist | 420 Walker Dr, Springville, AL 35146-3250 | 2006-10-12 |
| 1659489201 | Amy Elizabeth Schmitt-kingston | Dentist | 13832 White St, Springville, NY 14141 | 2006-08-25 |
| 1578670170 | Alan C Miner | Dentist | 330 East 400 South, Suite #4, Springville, UT 84663 | 2006-08-23 |
| 1912969114 | Eric L. Swenson | Dentist | 378 E 400 S, Suite 1, Springville, UT 84663-1980 | 2006-04-04 |
| 1184247199 | Matthew Ream | Dentist | 378 E 400 S Ste 1, Springville, UT 84663-1981 | 2020-05-26 |
| 1801381892 | Tyler Merrill Nelson | Dentist | 378 E 400 S Ste 1, Springville, UT 84663-1981 | 2018-06-22 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
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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.