PONY EXPRESS DENTAL DAYBREAK, LLC (NPI# 1104347061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104347061 |
| Entity Type | Organization |
| Organization Name | PONY EXPRESS DENTAL DAYBREAK, LLC |
| Practice Address |
5396 W Daybreak Parkway South Jordan UT 84009 |
| Mailing Address |
1308 E Eagle Mountain Blvd Eagle Mountain UT 84005-5412 |
| Practice Telephone | 8018767669 |
| Mailing Telephone | 8018767669 |
| Mailing Fax Number | 8014071782 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | MR. MICHAEL TORNOW (OWNER) |
| Authorized Official Telephone | 8018767669 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5015649-8903 | UT | Ambulatory Health Care Facilities |
| Street Address |
5396 W DAYBREAK PARKWAY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
| 1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
| 1366079097 | Live Well Counseling Services Pllc | Social Worker | 3654 W 9800 S, South Jordan, UT 84009-3260 | 2020-03-24 |
| Find all providers in zip 84009 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022879 | Meri-dent, P.C. | Clinic/Center | 1680 W Reunion Ave Ste 6b, South Jordan, UT 84095-4617 | 2019-06-18 |
| 1538570486 | Stonehaven Dental - South Jordan, LLC | Clinic/Center | 3785 W 10400 S, South Jordan, UT 84095 | 2014-05-14 |
| 1730796152 | Joc Sjt | Clinic/Center | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2020-09-29 |
| 1750853438 | Creek Capital Daybreak LLC | Clinic/Center | 4775 W Daybreak Pkwy Ste 103, South Jordan, UT 84009-5139 | 2018-12-19 |
| 1386143857 | Denticare, LLC | Clinic/Center | 10597 S Beach Comber Way, South Jordan, UT 84009-6132 | 2018-02-09 |
| 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 | ||||
| City | SOUTH JORDAN |
| Zip Code | 84009 |
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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.