CACHE VALLEY DENTAL ASSOCIATES LLC (NPI# 1295398352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295398352 |
| Entity Type | Organization |
| Organization Name | CACHE VALLEY DENTAL ASSOCIATES LLC |
| Practice Address |
120 W Cache Valley Blvd Ste 200 Logan UT 84341-2697 |
| Mailing Address |
2797 N Highway 89 Ste 300 Pleasant View UT 84404-1232 |
| Practice Telephone | 4357537563 |
| Mailing Telephone | 8017860500 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | ANTHONY LARSON (OWNER/REGISTERED AGENT) |
| Authorized Official Telephone | 4352321232 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
120 W CACHE VALLEY BLVD STE 200 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| 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 |
|---|---|---|---|---|
| 1073165007 | Joshua Joel Burnham | Dentist | 957 S Hwy 89, Logan, UT 84321-5451 | 2019-07-10 |
| 1326530486 | Brad C Theurer | Dentist | 1340 N 600 E Ste 1, Logan, UT 84341-2475 | 2018-06-05 |
| 1609304294 | Clayton Franklin Gunnell | Dentist | 1320 N 600 E Ste 2, Logan, UT 84341-2474 | 2017-05-26 |
| 1295961159 | Travis S. Baldwin | Dentist | 1260 N 200 E, Suite 9, Logan, UT 84341-7560 | 2009-06-05 |
| 1386804458 | Justin Carter | Dentist | 1451 N 200 E, Suite #200, Logan, UT 84341-7570 | 2008-06-12 |
| 1144427154 | Larry T Hogge | Dentist | 1230 N 200 E, Logan, UT 84341 | 2007-07-02 |
| 1013112978 | Cameron Mark Workman | Dentist | 150 E 200 N Ste C, Logan, UT 84321-4036 | 2007-06-19 |
| 1457556813 | Scott L Theurer | Dentist | 1340 N 600 E, Ste 1, Logan, UT 84341-2440 | 2007-06-18 |
| 1104029560 | Samuel Lee Peery | Dentist | 30 N 100 E, Logan, UT 84321-4649 | 2007-06-06 |
| 1245447200 | Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. | Dentist | 127 Prosperity Ln, Logan, WV 25601-3488 | 2007-05-17 |
| Find all providers in LOGAN | ||||
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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.