DR. PETER E PAULOS (NPI# 1407913726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407913726 |
| Entity Type | Individual |
| Full Name | DR. PETER E PAULOS |
| Credential | D.D.S., M.S. |
| Practice Address |
6287 S Redwood Rd Ste 202 Salt Lake City UT 84123-6655 |
| Practice Telephone | 8012623777 |
| Practice Fax Number | 8012625356 |
| Mailing Telephone | 8012623777 |
| Mailing Fax Number | 8012625356 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-16 |
| 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 |
132585 | UT | Dental Providers |
| Street Address |
6287 S REDWOOD RD STE 202 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84123-6655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| 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 |
| 1659431526 | Alan Charles Jensen | Dentist | 1377 East 3900 South, Suite 203, Salt Lake City, UT 84124 | 2006-12-11 |
| 1659446748 | Richard L Curtis Dds Ms PC | Dentist | 2025 S 1300 E, Suite 1, Salt Lake City, UT 84105-3698 | 2006-11-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84123 |
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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.