DR. ANDREW FENTON (NPI# 1194710681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194710681 |
| Entity Type | Individual |
| Full Name | DR. ANDREW FENTON |
| Credential | DDS |
| Practice Address |
75 W Main Street Ct Ste 200 Alpine UT 84004-5602 |
| Mailing Address |
155 S. 100 W. Alpine UT 84004 |
| Practice Telephone | 8017569779 |
| Mailing Telephone | 8017569779 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
47253509921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275022642 | Andrew Fenton | Physical Therapy Assistant | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2018-05-01 |
| 1518041565 | Andrew H. Fenton | Surgery | 400 Wabash Ave, Suite 335, Akron, OH 44307-2433 | 2006-10-25 |
| 1215977335 | Andrew N. Fenton | Emergency Medicine | 1000 Trancas St, Napa, CA 94558-2906 | 2006-06-07 |
| Street Address |
75 W MAIN STREET CT STE 200 |
| City | ALPINE |
| State | UT |
| Zip Code | 84004-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326352071 | Randall M Stucki Family Dentistry PC | Dentist | 75 W Main Street Ct Ste 200, Alpine, UT 84004-5602 | 2010-08-04 |
| 1538186069 | Randall Mckay Stucki | Dentist | 75 W Main Street Ct Ste 200, Alpine, UT 84004-5602 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148404 | Virgil Jon Parker | Internal Medicine | 646 W 600 N, Alpine, UT 84004 | 2010-02-10 |
| 1245302751 | Garon E Larsen | Dentist | 70 West Canyon Crest Road, Alpine, UT 84004 | 2006-11-14 |
| 1093801151 | Mitchell D Albrecht | Anesthesiology | 1034 N 500 W, Provo, UT 84004 | 2006-10-05 |
| 1790187847 | Stephanie Gross | Acupuncturist | 1034 Moyle Dr, Alpine, UT 84004-1206 | 2014-09-19 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1669794806 | Vernon C. Utley | Social Worker | 646 N 610 E, Alpine, UT 84004-1220 | 2010-02-15 |
| 1568792760 | David Lawrence Scott | Pediatrics | 424 Aspen Ridge Ln, Alpine, UT 84004-1223 | 2010-01-11 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1528452125 | James H Cloyd, Phd, LLC | Psychologist | 758 Canterbury Ln, Alpine, UT 84004-1255 | 2015-03-23 |
| 1407405384 | Felicity Kaden Mills | Behavior Technician | 587 Hillside Dr, Alpine, UT 84004-1355 | 2019-09-04 |
| Find all providers in zip 84004 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1235750811 | S J Shahangian Dds Ms Inc | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-05-05 |
| 1962511659 | Cynthia L Jackson Dds Ms Inc | Dentist | 1620 Alpine Blvd, Ste 212, Alpine, CA 91901-1105 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100295 | Riley Hunsaker | Dentist | 10654 S River Heights Dr, South Jordan, UT 84095-5522 | 2020-10-09 |
| 1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
| 1346884335 | Orthodontics of St. George, P.C. | Dentist | 965 E 700 S Ste 101, St George, UT 84790-4084 | 2019-11-01 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1366096208 | Hailee Rask | Dentist | 2255 N University Pkwy Ste 37, Provo, UT 84604-1503 | 2019-07-29 |
| 1477112779 | Alan Clawson Baugh | Dentist | 4019 W 12600 S Ste 210, Riverton, UT 84096-7407 | 2019-06-10 |
| 1821553785 | Raymond Scott Hlavaty | Dentist | 150 E 200 N Ste A, Logan, UT 84321-4036 | 2019-02-05 |
| 1235601659 | Burke and Beckstrom Orthodontics | Dentist | 446 S Mall Dr Ste 100, St George, UT 84790-4944 | 2018-12-24 |
| 1194294488 | Kent Joseph Baugh | Dentist | 164 E 5900 S Ste A109, Murray, UT 84107-7248 | 2018-11-16 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
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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.