STEVENSON PEDIATRIC DENTISTRY P.C. (NPI# 1578638854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578638854 |
| Entity Type | Organization |
| Organization Name | STEVENSON PEDIATRIC DENTISTRY P.C. |
| Practice Address |
4019 W. 12600 S. Suite 200 Riverton UT 84096 |
| Mailing Address |
4019 W 12600 S Suite 200 Riverton UT 84096 |
| Practice Telephone | 8013027938 |
| Practice Fax Number | 8013029409 |
| Mailing Telephone | 8013027938 |
| Mailing Fax Number | 8013029409 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | DR. NATHAN DANIEL STEVENSON (OWNER, PRESIDENT) |
| Authorized Official Telephone | 8013027938 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5863508-9923 | UT | Dental Providers |
| Street Address |
4019 W. 12600 S. SUITE 200 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902015118 | Joseph Jacob Bromley | Dentist | 4019 W. 12600 S., Suite 100, Riverton, UT 84065 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1730278946 | Rebecca Mostatab | Dentist | 4531 W Partridgehill Lane, Suite F-110, Riverton, UT 84096 | 2006-10-12 |
| Find all providers in zip 84096 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902271539 | Matthew Jacobsen Pediatric Dentistry | Dentist | 4019 W 12600 S Ste 200, Riverton, UT 84096-7406 | 2015-12-08 |
| 1487070082 | Barton Sloan | Dentist | 4013 W 13400 S, Riverton, UT 84096-6410 | 2014-03-07 |
| 1831165224 | David Jay Johnson | Dentist | 2364 W 12600 S, Riverton, UT 84065-7109 | 2006-02-24 |
| 1730714783 | South Hills Pediatric Dental Specialists, LLC | Dentist | 4013 W 13400 S, Riverton, UT 84096-6410 | 2020-03-10 |
| 1306291422 | Pdc Riverton LLC | Dentist | 2364 W 12600 S, Ste 1a, Riverton, UT 84065-7109 | 2016-04-26 |
| 1942376231 | Nathan Daniel Stevenson | Dentist | 4019 W 12600 S, Suite 200, Riverton, UT 84096 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
| 1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
| 1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
| 1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
| 1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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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.