AMERICAN FORK MODERN DENTISTRY, LLP (NPI# 1295091387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295091387 |
| Entity Type | Organization |
| Organization Name | AMERICAN FORK MODERN DENTISTRY, LLP |
| Other Organization Name | AMERICAN FORK MODERN DENTISTRY AND ORTHODONTICS |
| Practice Address |
945 West 500 North Suite 105 American Fork UT 84003 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 8017565643 |
| Practice Fax Number | 8017564109 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | DR. ERIC JOHN SWENSEN (DDS/OWNER) |
| Authorized Official Telephone | 8017565643 |
| 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 |
|---|---|
| American Fork Modern Dentistry and Orthodontics | Doing Business As Name - Organization |
| Street Address |
945 WEST 500 NORTH SUITE 105 |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| 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 |
|---|---|---|---|---|
| 1295925675 | Nicholas Lamar Groneman | Dentist | 186 S 1100 E, American Fork, UT 84003-2817 | 2007-07-31 |
| 1962600478 | Brandon H Tayler | Dentist | 101 North West State Rd Ste 108, American Fork, UT 84003 | 2007-07-05 |
| 1780706887 | David R Blackhurst | Dentist | 565 E State Rd, American Fork, UT 84003-2148 | 2007-04-06 |
| 1912028077 | David G. Erekson | Dentist | 186 South 1100 East, American Fork, UT 84003 | 2007-04-03 |
| 1770617649 | Carl Clinton Shoff | Dentist | 76 N 100 E, Suite A-4, American Fork, UT 84003-1788 | 2007-03-15 |
| 1629119409 | Youngfamilydentalaf | Dentist | 483 E 200 S, American Fork, UT 84003-2503 | 2007-02-12 |
| 1013055235 | L. Craig Rosvall | Dentist | 224 S 1100 E, American Fork, UT 84003-2829 | 2007-02-01 |
| 1992889836 | Brandon Dale Greenwood | Dentist | 226 N 1100 E Ste D, American Fork, UT 84003-2054 | 2006-10-25 |
| 1245313121 | Daniel B Coles | Dentist | 12 S 1100 E, American Fork, UT 84003-2815 | 2006-10-23 |
| 1275613150 | Eric B Muir | Dentist | 28 S 1100 E Ste A, American Fork, UT 84003-2834 | 2006-10-16 |
| Find all providers in AMERICAN FORK | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
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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.