IVERSON DENTAL, INC. (NPI# 1336576818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336576818 |
| Entity Type | Organization |
| Organization Name | IVERSON DENTAL, INC. |
| Other Organization Name | IVERSON DENTAL |
| Practice Address |
2627 N Highway 162 Eden UT 84310-9745 |
| Mailing Address |
Po Box 900 Eden UT 84310-0900 |
| Practice Telephone | 8017453882 |
| Practice Fax Number | 8017456207 |
| Mailing Telephone | 8017453882 |
| Mailing Fax Number | 8017456207 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | DR. VERN Q. IVERSON (OWNER) |
| Authorized Official Telephone | 8017453882 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1338754-0142 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1487617940 | 05 |
| Other Name | Type Code |
|---|---|
| Iverson Dental | Doing Business As Name - Organization |
| Street Address |
2627 N HIGHWAY 162 |
| City | EDEN |
| State | UT |
| Zip Code | 84310-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617940 | Vern Quincy Iverson | Dentist | 2627 N Highway 162, Eden, UT 84310-9745 | 2006-04-07 |
| 1184030967 | Iverson & Burton Dental, LLC | Clinic/Center | 2627 N Highway 162, Eden, UT 84310-9745 | 2014-07-01 |
| 1538417340 | Ashley A Burton | Dentist | 2627 N Highway 162, Eden, UT 84310-9745 | 2012-08-28 |
| 1689990541 | Brigham Kenneth Burton | Dentist | 2627 N Highway 162, Eden, UT 84310-9745 | 2010-04-15 |
| 1073758843 | Iverson & Larsen Dental Pllc | Clinic/Center | 2627 N Highway 162, Eden, UT 84310-9745 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493614 | Jared Andrew Rose | Physical Therapist | 2131 N 5500 E, Eden, UT 84310 | 2019-02-11 |
| 1396862801 | Kermit Kim Cowley | Pharmacist | 2555 N. Wolf Creek Drive, Eden, UT 84310 | 2007-03-22 |
| 1346253515 | Roe Rx Inc | Durable Medical Equipment & Medical Supplies | 2555 North Wolf Creek Drive, Eden, UT 84310 | 2006-08-15 |
| 1023019593 | Bradley D Benard | Physical Therapist | 4920 E 2550 N, Unit C, Eden, UT 84310 | 2005-08-09 |
| 1770892366 | Trent C Henderson | Physical Therapist | 4920 E 2550 N, Unit C, Eden, UT 84310 | 2010-09-29 |
| 1003147745 | Michelle Ashby Cherry | Counselor | 2461 N Shady Lane, Eden, UT 84310-1091 | 2010-01-20 |
| 1164061370 | Oak Hill Medical Group LLC | Family Medicine | 6781 N 2100 E, Liberty, UT 84310-4701 | 2020-01-06 |
| 1902101892 | Chun Il Mah | Radiology | 4218 Sunrise Dr, Eden, UT 84310-6764 | 2011-01-24 |
| 1639492978 | Lorrie Harper | Physical Therapist | 4794 E 2600 N, Suite B, Eden, UT 84310-9535 | 2010-03-01 |
| 1013532001 | Aspen Wayment | Student in an Organized Health Care Education/Training Program | 2531 Shaw Dr, Liberty, UT 84310-9705 | 2020-06-15 |
| Find all providers in zip 84310 | ||||
| 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 |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1285829796 | Donald Johnston Wright | Dentist | 407 S Van Buren Rd, Eden, NC 27288-5069 | 2007-09-07 |
| 1619180445 | Insook Baik Smith | Dentist | 120b W Arbor Ln, Eden, NC 27288-5306 | 2007-05-08 |
| 1861510927 | Dalyn J Johnson | Dentist | 212 Jackson St., Eden, TX 76837-0246 | 2007-03-27 |
| 1508990268 | Hugh T Dowdy | Dentist | 120 W Arbor Ln, Eden, NC 27288-5306 | 2007-03-15 |
| 1730212564 | Chad L Wagstaff | Dentist | 2640 N Highway 162, Eden, UT 84310-9745 | 2007-03-13 |
| 1598842890 | Michael D Burleson | Dentist | 113 W Arbor Ln, Eden, NC 27288-5305 | 2006-11-01 |
| 1497844310 | Kamran Hameed | Dentist | 701 S Van Buren Rd, Eden, NC 27288-5321 | 2006-10-11 |
| 1568410405 | Glenn William Horrigan | Dentist | 2553 W Church St, Eden, NY 14057-1005 | 2006-05-04 |
| 1487617940 | Vern Quincy Iverson | Dentist | 2627 N Highway 162, Eden, UT 84310-9745 | 2006-04-07 |
| Find all providers in EDEN | ||||
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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.