COPPER HILLS DENTAL (NPI# 1114209178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114209178 |
| Entity Type | Organization |
| Organization Name | COPPER HILLS DENTAL |
| Practice Address |
3665 S 8400 W Ste 250 Magna UT 84044-4911 |
| Practice Telephone | 8012500450 |
| Mailing Telephone | 8012500450 |
| Mailing Fax Number | 8012500470 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | TERRY R SORENSON (DENTIST/OWNER) |
| Authorized Official Telephone | 8012500450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COPPER HILLS DENTAL | 795 S 20th Ave, Safford, AZ 85546-3322 |
| Street Address |
3665 S 8400 W STE 250 |
| City | MAGNA |
| State | UT |
| Zip Code | 84044-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376073965 | Danielle Lauren Tanner | Social Worker | 8265 W. 2700 South, Magna, UT 84044 | 2017-06-15 |
| 1316485774 | Alina Crawford | Specialist | 9115 W Magna Main St, Magna, UT 84044 | 2017-02-06 |
| 1437469756 | Ashley Christine Prescott | Counselor | 2711 S 8500 W, Magna, UT 84044 | 2010-10-20 |
| 1548578511 | Valerie D Liggett | Social Worker | 2700 South 8537 West, Magna, UT 84044 | 2010-09-23 |
| 1265642334 | Tab Bingham | Dentist | 8370 W 3500 S, Magna, UT 84044 | 2007-05-23 |
| 1962437251 | Catherine Luverne Baxter | Nurse Practitioner | 840 W 3665 S, Magna, UT 84044 | 2006-07-12 |
| 1710918586 | Marliese Lovelei Lloyd | Physician Assistant | 8211 W 3500 So, Magna, UT 84044 | 2006-07-06 |
| 1093771446 | Kristine Holly Frost | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-04-25 |
| 1124175161 | Marilyn Marie Chan | Nurse Practitioner | 8925 South 2700 West, West Jordan, UT 84044 | 2007-01-04 |
| 1922163401 | Kevin Macfarlane | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-12-26 |
| Find all providers in zip 84044 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790077915 | Magna Dental Clinic | Dentist | 3564 S 7200 W Ste B, Magna, UT 84044-3507 | 2011-05-05 |
| 1265642334 | Tab Bingham | Dentist | 8370 W 3500 S, Magna, UT 84044 | 2007-05-23 |
| 1578779997 | Michel B Haynie | Dentist | 8031 W 3500 S, Magna, UT 84044-2218 | 2007-05-15 |
| 1861518714 | Chris E. Vernon | Dentist | 3441 S 8400 W Ste C, Magna, UT 84044-1884 | 2007-03-22 |
| 1174501688 | Bryan E Gottfredson | Dentist | 9010 W 2700 S, Magna, UT 84044-1002 | 2006-01-04 |
| 1245588508 | Genesis Dental of Magna, LLC | Dentist | 3665 S 8400 W, Suite 250, Magna, UT 84044-4907 | 2012-08-16 |
| 1821385097 | David Lynn Johnson | Dentist | 3564 S 7200 W Ste B, Magna, UT 84044-3507 | 2011-07-07 |
| 1902118557 | Bryan E Gottfredson Dds | Dentist | 9010 W 2700 S, Magna, UT 84044-1002 | 2010-07-12 |
| 1922235514 | Bryce W White | Dentist | 3564 S 7200 W, Ste B, Magna, UT 84044-3507 | 2009-06-22 |
| 1932360948 | Bradley L Johnson | Dentist | 3564 S 7200 W, Suite B, Magna, UT 84044-3507 | 2008-06-23 |
| Find all providers in MAGNA | ||||
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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.