GRANDPA'S DENTAL INC. (NPI# 1144422429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144422429 |
| Entity Type | Organization |
| Organization Name | GRANDPA'S DENTAL INC. |
| Practice Address |
777 North 500 West 201b Provo UT 84601-1570 |
| Mailing Address |
777 North 500 West Suite 201b Provo UT 84601-1570 |
| Practice Telephone | 8013745100 |
| Mailing Telephone | 8013745100 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ABRAHAM RODRIGUES (PRESIDENT) |
| Authorized Official Telephone | 8013745100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
777 NORTH 500 WEST 201B |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| 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 |
|---|---|---|---|---|
| 1811462120 | Dr Quinn Schiffman Dds LLC | Dentist | 1355 N University Ave Ste 320, Provo, UT 84604-2721 | 2018-10-12 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1144602970 | Tyra Neal | Dentist | 1450 W 820 N, Provo, UT 84601-1305 | 2015-06-29 |
| 1427437144 | Mountainlands Community Health Center, Inc. | Dentist | 299 E 900 S Ste 101, Provo, UT 84606-6107 | 2015-05-27 |
| 1730586355 | Juan C. Chavez, D.m.d., P.l.l.c | Dentist | 2520 N University Ave Ste 101, Provo, UT 84604-6081 | 2014-11-25 |
| 1174938294 | Michael Aaron Merkley | Dentist | 777 N 500 W # 201, Provo, UT 84601-1541 | 2014-06-26 |
| 1053613497 | Jones Dental | Dentist | 3651 N 100 E Ste 200, Provo, UT 84604-4553 | 2010-11-17 |
| 1083876205 | R. Reed Call | Dentist | 777 N 500 W Ste 202, Provo, UT 84601-1541 | 2008-06-29 |
| 1386770915 | Dean F Robinson | Dentist | 2476 N University Pky #102, Provo, UT 84604-3801 | 2007-02-26 |
| 1306980586 | Myles A Preble | Dentist | 3311 N. University Ave, Suite 150, Provo, UT 84604 | 2007-02-19 |
| Find all providers in PROVO | ||||
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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.