DR. R. GAYLE HOLMAN (NPI# 1376621417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376621417 |
| Entity Type | Individual |
| Full Name | DR. R. GAYLE HOLMAN |
| Credential | D.D.S., M.S. |
| Practice Address |
1345 E 3900 S Ste 202 Salt Lake City UT 84124-1474 |
| Practice Telephone | 8012782819 |
| Practice Fax Number | 8012782546 |
| Mailing Telephone | 8012782819 |
| Mailing Fax Number | 8012782546 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22137142-9921 | UT | Dental Providers |
| Street Address |
1345 E 3900 S STE 202 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669822177 | Daniel Shawn Funk | Dentist | 1345 E 3900 S, Suite 108, Salt Lake City, UT 84124-1474 | 2016-06-15 |
| 1861892861 | Geraldine Jody Stubler | Nurse Practitioner | 1345 E 3900 S, Suite 204, Salt Lake City, UT 84124-1474 | 2014-08-27 |
| 1558675512 | Derek Christopher Funk | Dentist | 1345 E 3900 S, Suite 108, Salt Lake City, UT 84124-1474 | 2010-08-02 |
| 1255595773 | Brian G Holman | Dentist | 1345 E 3900 S, Suite 202, Salt Lake City, UT 84124-1474 | 2008-07-14 |
| 1063672590 | Kent A Giauque | Dentist | 1345 E 3900 S, # 210, Salt Lake City, UT 84124-1474 | 2008-06-09 |
| 1295908630 | Roger Lowell Hicks | Dentist | 1345 E 3900 S, Suite 216, Salt Lake City, UT 84124-1474 | 2008-04-07 |
| 1235257056 | Jonathan G Campbell | Dentist | 1345 E 3900 S, #116, Salt Lake City, UT 84124-1474 | 2007-03-27 |
| 1700918075 | Kenneth F King | Dentist | 1345 E 3900 S, Suite 112, Salt Lake City, UT 84124-1474 | 2007-03-12 |
| 1427193291 | William Roy Adams | Obstetrics & Gynecology | 1345 E 3900 S, #104, Salt Lake City, UT 84124-1474 | 2007-02-20 |
| 1033212576 | John Randolph Conner Jr. | Dentist | 1345 E 3900 S, #214, Salt Lake City, UT 84124-4414 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285086355 | Morrison Orthodontics, Pllc | Dentist | 2080 E Murray Holladay Rd, Salt Lake City, UT 84117-5132 | 2016-07-12 |
| 1659591238 | Mark J Mcdonough | Dentist | 6070 South 1300 East, Suite 202, Salt Lake City, UT 84121-6724 | 2007-04-26 |
| 1568681450 | S Donald Gardner | Dentist | 7138 Highland Dr Ste 213, Salt Lake City, UT 84121-3781 | 2007-04-25 |
| 1669690236 | Norman A Maxfield | Dentist | 6243 S Redwood Rd Ste 240, Salt Lake City, UT 84123-6412 | 2007-04-20 |
| 1629295050 | David Vernon Young | Dentist | 622 E 4500 S Ste 202, Salt Lake City, UT 84107-2922 | 2007-04-19 |
| 1306968359 | John W Graham | Dentist | 705 E 900 S Ste 300, Salt Lake City, UT 84105-1281 | 2007-04-03 |
| 1801916309 | Feller Orthodontics A Professional Organization | Dentist | 2505 E 3300 S, Salt Lake City, UT 84109-2737 | 2007-03-29 |
| 1750435020 | Paul M Broadwater | Dentist | 2080 Murray Holladay Rd, Salt Lake City, UT 84117-5132 | 2007-01-23 |
| 1407913726 | Peter E Paulos | Dentist | 6287 S Redwood Rd Ste 202, Salt Lake City, UT 84123-6655 | 2007-01-03 |
| 1659431526 | Alan Charles Jensen | Dentist | 1377 East 3900 South, Suite 203, Salt Lake City, UT 84124 | 2006-12-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.