ACCESS PROFESSIONAL DENTAL CARE,LLC (NPI# 1225437353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225437353 |
Entity Type | Organization |
Organization Name | ACCESS PROFESSIONAL DENTAL CARE,LLC |
Other Organization Name | BLUE HILLS DENTAL |
Practice Address |
6540 S State St Murray UT 84107-7219 |
Mailing Address |
8890 Cal Center Dr Sacramento CA 95826-3200 |
Practice Telephone | 8015908466 |
Practice Fax Number | 8019051934 |
Mailing Telephone | 9169225000 |
Mailing Fax Number | 9166469000 |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-09-09 |
Authorized Official Name | MS. LORRI DETRICK (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 9165636002 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Blue Hills Dental | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326467168 | Access Professional Dental Care,llc | Dentist | 4115 Riverdale Rd Ste B, Riverdale, UT 84405-3509 | 2014-04-09 |
1053734384 | Access Professional Dental Care,llc | Dentist | 4577 S 4000 W, West Valley, UT 84120-6222 | 2014-01-22 |
Street Address |
6540 S STATE ST |
City | MURRAY |
State | UT |
Zip Code | 84107-7219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
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 |
---|---|---|---|---|
1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
1396263232 | Creek Capital Burg General LLC | Dentist | 678 E Vine St Ste 10, Murray, UT 84107-5500 | 2017-08-30 |
1124477294 | Jason Wareham | Dentist | 6040 S Fashion Blvd Ste 100, Murray, UT 84107 | 2016-06-08 |
1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
1962635466 | Bullen & Wilson Eaglegate College Dental Clinic | Dentist | 5618 Green St, Murray, UT 84123-5796 | 2009-08-31 |
1609020478 | Randy N. Downing | Dentist | 6095 S Fashion Blvd Ste 200, Murray, UT 84107-7395 | 2008-11-06 |
1770740458 | George Winder | Dentist | 1035 Bellwood Ln, Suite 100, Murray, UT 84123-7964 | 2008-05-20 |
1598943136 | Morgan Jay Smith | Dentist | 6065 Fashion Blvd Ste 200, Murray, UT 84107-5406 | 2008-02-06 |
1902008378 | John Hicks Middleton | Dentist | 4970 S 900 E Ste E, Murray, UT 84117-5796 | 2007-06-05 |
1619183357 | John William Myers | Dentist | 6095 Fashion Blvd Ste 290, Murray, UT 84107-7391 | 2007-05-16 |
Find all providers in MURRAY |
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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.