SAN JUAN DENTAL (NPI# 1447465141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447465141 |
| Entity Type | Organization |
| Organization Name | SAN JUAN DENTAL |
| Practice Address |
217 S. 100 W. Monticello UT 84535 |
| Mailing Address |
Po Box 760 Monticello UT 84535-0760 |
| Practice Telephone | 4355872528 |
| Practice Fax Number | 4355873585 |
| Mailing Telephone | 4355872528 |
| Mailing Fax Number | 4355873585 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-01-22 |
| Authorized Official Name | DR. GERALD O. MILLER (DENTIST) |
| Authorized Official Telephone | 4355872528 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
139310 | UT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
360185 | UT | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | San Juan Dental Anesthesia Services, Professional LLC | 835 E. 2nd Avenue, Suite 270, Durango, CO 81301 |
| Colorado Business Entities | SAN JUAN DENTAL CLINIC, A PROFESSIONAL CORPORATION | 26408 Road N, Cortez, CO 81321 |
| Colorado Business Entities | San Juan Dental Hygiene Inc | 178 Valley View Road, Ridgway, CO 81432 |
| Colorado Business Entities | San Juan Dental Hygiene LLC | 101 Pagosa Street, Pagosa Springs, CO 81147 |
| Colorado Business Entities | SAN JUAN DENTAL LABORATORY, INC. | 700 S Cascade Ave, Montrose, CO 81401 |
| Washington State Corporations | SAN JUAN DENTAL LABORATORY, INC. | 1404 E College Way Ste 200, Mount Vernon, WA 98273-4102 |
| Street Address |
217 S. 100 W. |
| City | MONTICELLO |
| State | UT |
| Zip Code | 84535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731292 | Benjamin Wolsey Nielson | Social Worker | 133 E. 200 S., Monticello, UT 84535 | 2020-08-20 |
| 1346797909 | Utah Navajo Health System, Incorporated | Dentist | 217 S. 100 West, Monticello, UT 84535 | 2016-09-01 |
| 1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1871932640 | Angelic Hands, Inc | Home Health | 64 West 200 South, Monticello, UT 84535 | 2013-06-14 |
| 1982910519 | Julee Dawn Slade | Registered Nurse | 417 S. 100 W., Monticello, UT 84535 | 2010-08-20 |
| 1477886059 | Blue Mountain Family Center | Substance Abuse Rehabilitation Facility | 580 North Main, Monticello, UT 84535 | 2009-09-14 |
| 1710114665 | Nathan James Turnbow | Dentist | 225 South Main, Monticello, UT 84535 | 2009-06-18 |
| 1902952062 | San Juan County | Ambulance | 117 South Main, Monticello, UT 84535 | 2007-01-25 |
| 1376605709 | Gerald O Miller | Dentist | 217 S 100 W, Monticello, UT 84535 | 2006-12-14 |
| Find all providers in zip 84535 | ||||
| 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 |
|---|---|---|---|---|
| 1124555636 | Joanna Rose Tran | Dentist | 9281 Cedar St, Monticello, MN 55362-4507 | 2017-05-15 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1346797909 | Utah Navajo Health System, Incorporated | Dentist | 217 S. 100 West, Monticello, UT 84535 | 2016-09-01 |
| 1710114665 | Nathan James Turnbow | Dentist | 225 South Main, Monticello, UT 84535 | 2009-06-18 |
| 1689840977 | Sherry Chance Pippen, Dmd, Pa | Dentist | 823 F E Sellers Hwy, Monticello, MS 39654-9378 | 2008-05-06 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1659492569 | Beth Amundson | Dentist | 1005 Hart Blvd., Monticello, MN 55362 | 2007-04-02 |
| 1720119563 | Michael James Carney | Dentist | 1535 W Washington St, Monticello, FL 32344-1133 | 2007-03-07 |
| 1598800641 | Suzanne Sethone Hendrix | Dentist | 1005 E Hart Blvd, Monticello, MN 55362 | 2007-02-20 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 84535 |
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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.