DR. ELI GARTH EDMUNDS (NPI# 1205958543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205958543 |
| Entity Type | Individual |
| Full Name | DR. ELI GARTH EDMUNDS |
| Credential | D.D.S. |
| Practice Address |
12465 Fort St # 100 Draper UT 84020-9363 |
| Practice Telephone | 8015761167 |
| Practice Fax Number | 8015761169 |
| Mailing Telephone | 8015761167 |
| Mailing Fax Number | 8015761169 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5348114 | UT | Dental Providers |
| Street Address |
12465 FORT ST # 100 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| 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 |
|---|---|---|---|---|
| 1902297138 | Taurean Travas Smith | Dentist | 1637 E Timoney Rd, Draper, UT 84020-7669 | 2015-02-10 |
| 1073856316 | Chase Roger Judd | Dentist | 11760 S 700 E Ste 110, Draper, UT 84020-6605 | 2013-04-05 |
| 1467627158 | David A. Gutzman | Dentist | 856 East Ranch Circle, Draper, UT 84020-1058 | 2008-04-24 |
| 1043419245 | Marshall Hanson | Dentist | 949 E 12400 S Ste A2, Draper, UT 84020 | 2007-07-17 |
| 1972717254 | William Edward Crofts | Dentist | 12288 South 900 East, Draper, UT 84020 | 2007-05-09 |
| 1275675514 | Don Martin Rubisch | Dentist | 946 E Draper Pkwy, Draper, UT 84020-9778 | 2007-02-13 |
| 1598879330 | Neil Gwynn Baird | Dentist | 11787 Silver Spur Lane, Draper, UT 84020 | 2006-08-18 |
| 1790796258 | Edward James Sittler | Dentist | 14717 Minuteman Dr., Utah Department of Corrections-clinical Services, Draper, UT 84020 | 2006-08-10 |
| 1679592059 | Richard Gordon Parker | Dentist | 112 E 12450 S Ste 102a, Draper, UT 84020-8057 | 2006-07-18 |
| 1306475421 | Anthony Edgar Acuna | Dentist | 1442 E Draper Pkwy Ste G, Draper, UT 84020-9391 | 2020-04-02 |
| Find all providers in DRAPER | ||||
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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.