MODERN DENTAL PROFESSIONALS - UTAH, PC (NPI# 1437556404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437556404 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS - UTAH, PC |
| Other Organization Name | MONARCH DENTAL - TAYLORSVILLE |
| Practice Address |
5419 S Redwood Rd Ste 2 Taylorsville UT 84123-6957 |
| Practice Telephone | 8012636414 |
| Mailing Telephone | 8012636414 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. ROBERT CHIDESTER (PRESIDENT) |
| Authorized Official Telephone | 7144282000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Monarch Dental - Taylorsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| 1598162141 | Modern Dental Professionals - Utah, PC | Dentist | 24 South 500 West, #d, Bountiful, UT 84010 | 2014-11-25 |
| 1740687706 | Modern Dental Professionals - Utah, PC | Dentist | 476 N 900 W Ste A, American Fork, UT 84003-5200 | 2014-11-19 |
| 1457758427 | Modern Dental Professionals - Utah, PC | Dentist | 575 E University Pkwy Ste A24, Orem, UT 84097-7608 | 2014-11-19 |
| 1720485709 | Modern Dental Professionals - Utah, PC | Dentist | 4645 S 4000 W Ste B, West Valley, UT 84120-6250 | 2014-11-19 |
| Street Address |
5419 S REDWOOD RD STE 2 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-6957 |
| 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 | 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 |
|---|---|---|---|---|
| 1164957635 | Dr Michael J Gordon Dds Pa | Dentist | 311 Nc Highway 16 S, Taylorsville, NC 28681-3050 | 2017-04-21 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1841668100 | Kevin Mangelson | Dentist | 6287 S Redwood Rd Ste 101, Taylorsville, UT 84123-6653 | 2015-09-03 |
| 1467892992 | Nathan Vassiliades | Dentist | 3484 W Ridgecrest Dr, Taylorsville, UT 84129-3332 | 2013-06-28 |
| 1568765741 | George A. Freer Dds PC | Dentist | 6243 S Redwood Rd Ste 200, Taylorsville, UT 84123-6408 | 2010-12-10 |
| 1386957397 | Brinkley & Associates, Pa | Dentist | 556 Nc Highway 16 S, Taylorsville, NC 28681-9986 | 2010-07-19 |
| 1295995983 | Shawn Mason Hamilton | Dentist | 1638 W 6235 S, Taylorsville, UT 84123-6647 | 2008-06-16 |
| 1205011608 | Dental Professionals of Mississippi, P.C. | Dentist | 411 Willis St, Taylorsville, MS 39168 | 2008-01-03 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1639247356 | Sanford W Hamilton | Dentist | 1638 West 6235 South, Taylorsville, UT 84123 | 2006-12-01 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| 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.