CLARK BANKS HICKEN (NPI# 1407925308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407925308 |
| Entity Type | Individual |
| Full Name | CLARK BANKS HICKEN |
| Credential | D.D.S. |
| Practice Address |
575 University Pkwy Suite A-24 Orem UT 84097-7400 |
| Mailing Address |
944 S 2500 E Springville UT 84663-3920 |
| Practice Telephone | 8012253300 |
| Practice Fax Number | 8017649069 |
| Mailing Telephone | 8014913207 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3446069922 | UT | Dental Providers |
| Street Address |
575 UNIVERSITY PKWY SUITE A-24 |
| City | OREM |
| State | UT |
| Zip Code | 84097-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392569 | Douglas Stewart Satterfield | Optometrist | 575 University Pkwy, University Mall H-155, Orem, UT 84097-7400 | 2006-03-28 |
| 1568624690 | Bradley Edward Devries | Dentist | 575 University Pkwy, Suite I-163, Orem, UT 84097-7400 | 2008-06-30 |
| 1851499677 | Vision Experts Inc. | Eyewear Supplier (Equipment, not the service) | 575 University Pkwy, Orem, UT 84097-7400 | 2006-09-20 |
| 1255357695 | Mall Dental Group | Dentist | 575 University Pkwy, I163, Orem, UT 84097-7400 | 2006-07-15 |
| 1326001124 | Bart Paul Hamblin | Optometrist | 575 University Pkwy, Orem, UT 84097-7400 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| 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 |
|---|---|---|---|---|
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1093241283 | David Brooks | Dentist | 255 E 930 S, Orem, UT 84058-5001 | 2017-05-07 |
| 1063957850 | Maughan Dentistry LLC | Dentist | 819 N 900 W, Orem, UT 84057-7701 | 2017-01-03 |
| 1558714550 | Cd Orem LLC | Dentist | 1221 S 1840 W, Orem, UT 84058-5978 | 2016-07-14 |
| 1386021848 | Apex Dental Orem, LLC | Dentist | 211 E 840 S, Orem, UT 84058-5018 | 2015-05-04 |
| 1073930855 | Damon P. Swenson | Dentist | 1643 N. State St., Orem, UT 84057 | 2014-03-18 |
| 1851645956 | Jeffrey Morrison | Dentist | 344 W 920 N, Orem, UT 84057-3042 | 2012-10-29 |
| 1679711006 | Barry Family Dental Group | Dentist | 165 N 400 W Ste A2, Orem, UT 84057-1909 | 2009-01-22 |
| 1720248586 | Robert Joseph Magness | Dentist | 348 W Center St, Orem, UT 84057-4659 | 2008-06-13 |
| 1215107149 | Genesis Dental of Orem, LLC | Dentist | 320 E 800 S, Orem, UT 84097-6386 | 2008-03-06 |
| Find all providers in OREM | ||||
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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.