MODERN DENTAL PROFESSIONALS UTAH, PC (NPI# 1336404763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336404763 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS UTAH, PC |
| Other Organization Name | MONARCH DENTAL - RIVERDALE |
| Practice Address |
1140 W Riverdale Rd Suite D Ogden UT 84405-3787 |
| Practice Telephone | 7144282000 |
| Mailing Telephone | 7144282000 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | DR. ROBERT CHIDESTER (PRESIDENT) |
| Authorized Official Telephone | 7144282000 |
| 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 |
| Other Name | Type Code |
|---|---|
| BRIGHTNOW DENTAL - RIVERDALE | Doing Business As Name - Organization |
| Monarch Dental - Riverdale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487913869 | Modern Dental Professionals Utah, PC | Dentist | 280 N Union Ave, #l110, Farmington, UT 84025 | 2012-05-07 |
| Street Address |
1140 W RIVERDALE RD SUITE D |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-3787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1023500675 | Carsen Robert Mcdaniel | Dentist | 1016 E 5675 S, Ogden, UT 84405-7099 | 2018-05-30 |
| 1700287257 | Ismile At Ogden Dental Pllc | Dentist | 5275 Adams Ave Pkwy Ste A, Ogden, UT 84405-6748 | 2014-09-15 |
| 1093087629 | Matthew R. Wolpert | Dentist | 3860 Jackson Ave Ste 6, Ogden, UT 84403-1979 | 2012-01-27 |
| 1841568243 | South Ogden Dental PC | Dentist | 5738 S 1475 E Ste 200, Ogden, UT 84403-4859 | 2011-12-13 |
| 1518269984 | Paul Crandall Bennion | Dentist | 1796 Beus Dr., Ogden, UT 84403 | 2010-11-17 |
| 1053648881 | Mount Ogden Dental PC | Dentist | 12320 33rd Street, Suite D, Ogden, UT 84403 | 2009-11-16 |
| 1619118791 | Nathan John Starley | Dentist | 3590 Harrison Blvd Ste 6, Ogden, UT 84403-2012 | 2009-03-18 |
| Find all providers in OGDEN | ||||
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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.