FASHION PLACE DENTAL PC (NPI# 1417177197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417177197 |
| Entity Type | Organization |
| Organization Name | FASHION PLACE DENTAL PC |
| Practice Address |
6095 Fashion Blvd Suite 3290 Murray UT 84107-7397 |
| Practice Telephone | 8012627770 |
| Practice Fax Number | 8012622983 |
| Mailing Telephone | 8012627770 |
| Mailing Fax Number | 8012622983 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTOPHER EARL GOODMAN (OWNER) |
| Authorized Official Telephone | 8012627770 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4737943-9922 | UT | Dental Providers |
| Street Address |
6095 FASHION BLVD SUITE 3290 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906330 | Charles Mitchell Rogers | Allergy & Immunology | 6095 Fashion Blvd, Suite# 100, Murray, UT 84107-7397 | 2005-07-18 |
| 1821382342 | Neibaur Family Orthodontics LLC | Dentist | 6095 Fashion Blvd, Ste 210, Murray, UT 84107-7397 | 2011-06-01 |
| 1376708669 | James R.m. Pearce M.d., LLC | Clinic/Center | 6095 Fashion Blvd, Suite 240, Murray, UT 84107-7397 | 2008-07-25 |
| 1013072248 | David Brent Rowell | Dentist | 6095 Fashion Blvd, Suite 200, Murray, UT 84107-7397 | 2006-12-27 |
| 1144305699 | Mary Menlove | Physician Assistant | 6095 Fashion Blvd, Murray, UT 84107-7397 | 2006-10-25 |
| 1386750263 | Precision Eye Care Pllc | Eyewear Supplier (Equipment, not the service) | 6095 Fashion Blvd, Suite 110, Murray, UT 84107-7397 | 2006-08-22 |
| 1700890035 | Lynn Andrew Birrell | Physician Assistant | 6095 Fashion Blvd, Suite 250, Murray, UT 84107-7397 | 2006-07-29 |
| 1750342564 | Stuart I Anderson | Optometrist | 6095 Fashion Blvd, Suite 110, Murray, UT 84107-7397 | 2006-03-31 |
| 1770551723 | Thomas Cooley Sorensen | Dentist | 6095 Fashion Blvd, Suite 220, Murray, UT 84107-7397 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849081 | Creek Capital Vine Street LLC | Dentist | 678 E Vine St Ste 12, Murray, UT 84107-5500 | 2017-08-30 |
| 1790205789 | Kathryn Elizabeth Cameron | Dentist | 6065 S Fashion Blvd Ste 200, Murray, UT 84107-5406 | 2017-06-21 |
| 1477921419 | Murray Dental Care | Dentist | 793 E Winchester St, Murray, UT 84107-7564 | 2015-09-08 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| 1982084265 | Grant Heward | Dentist | 5630 S Waterbury Way, B201, Murray, UT 84121-1182 | 2015-06-02 |
| 1033532015 | Fashion Place Dental | Dentist | 6095 S Fashion Blvd Ste 290, Murray, UT 84107-7391 | 2014-01-28 |
| 1508084997 | Randall Keith Taylor | Dentist | 700 Whitnell St, Murray, KY 42071-2966 | 2007-04-23 |
| 1134263478 | Andrew Mark Smith | Dentist | 6040 Fashion Blvd Ste 100, Murray, UT 84107-5415 | 2007-02-19 |
| 1790882504 | George Coleman Oakley | Dentist | 1210 Johnson Blvd, Murray, KY 42071 | 2006-09-20 |
| 1457454084 | William Nall Pasco | Dentist | 1653 Calloway Ave, Murray, KY 42071 | 2006-09-07 |
| Find all providers in MURRAY | ||||
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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.