LAURIN G RACKHAM (NPI# 1144361296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144361296 |
Entity Type | Individual |
Full Name | LAURIN G RACKHAM |
Credential | DMD |
Practice Address |
1834 S State St Orem UT 84097-8109 |
Practice Telephone | 8012240222 |
Practice Fax Number | 8012267560 |
Mailing Telephone | 8012240222 |
Mailing Fax Number | 8012267560 |
Enumeration Date | 2007-02-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
145560-9921 | UT | Dental Providers |
Street Address |
1834 S STATE ST |
City | OREM |
State | UT |
Zip Code | 84097-8109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093887374 | Christopher W. Young | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2006-11-14 |
1609490507 | Samuel James Lloyd | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2020-06-05 |
1245697036 | Melissa Lowry | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2016-01-25 |
1619315454 | Ritchie S Pelton | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2013-06-13 |
1396046702 | Paige Paxman White | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2010-11-16 |
1467595157 | Michael H Loeser | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-14 |
1346381498 | William A Cerny | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-10 |
1215078365 | Kwang Kyv Park | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-10 |
1750422804 | Blaine Glen Milne | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-10 |
1689715898 | Young Family Dental | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
Find all providers in zip 84097 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245562255 | Robert Bruce Howell | Dentist | 442 W 800 N, Orem, UT 84057-3728 | 2010-02-02 |
1609325091 | Ws Pllc | Dentist | 167 N 400 W, #a4, Orem, UT 84057-1909 | 2016-09-26 |
1366711087 | Pediatric Smiles Pllc | Dentist | 167 N 400 W, Suite A-4, Orem, UT 84057-1909 | 2011-12-27 |
1306080353 | Adam Nicholas Shepherd | Dentist | 167 N 400 W, Suite A-4, Orem, UT 84057-1909 | 2009-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
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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.