SUMMIT DENTAL LLC (NPI# 1639244387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639244387 |
| Entity Type | Organization |
| Organization Name | SUMMIT DENTAL LLC |
| Practice Address |
3225 W Gordon Ave Suite 4 Layton UT 84041-8769 |
| Practice Telephone | 8015478800 |
| Mailing Telephone | 8015478800 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL A BLAMIRES (OWNER) |
| Authorized Official Telephone | 8015478800 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
361602-9923 | UT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
309191-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972882736 | Summit Dental LLC | Dentist | 1006 S Edgewood Dr, Suite A, Knox, IN 46534-8226 | 2011-08-11 |
| Street Address |
3225 W GORDON AVE SUITE 4 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-8769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144204926 | Behavioral Health Services | Social Worker | 3225 W Gordon Ave, Layton, UT 84041-6508 | 2005-12-05 |
| 1588109839 | Evan Flint Johnson | Physical Therapist | 3225 W Gordon Ave, Layton, UT 84041-6508 | 2016-12-22 |
| 1831590769 | Lisa A Stephens | Physician Assistant | 3225 W Gordon Ave, Suite 1, Layton, UT 84041-6508 | 2014-09-10 |
| 1811321177 | Laboratory Corporation of America | Clinical Medical Laboratory | 3225 W Gordon Ave, Suite 1, Layton, UT 84041-6508 | 2013-08-22 |
| 1487910147 | Legacy Pediatric Dentistry, LLC | Dentist | 3225 W Gordon Ave, Ste G, Layton, UT 84041-6508 | 2012-04-07 |
| 1811296155 | Precision Emg Pllc | Physical Therapist | 3225 W Gordon Ave, Layton, UT 84041-6508 | 2011-03-25 |
| 1144533266 | Scott C Folkman | Dentist | 3225 W Gordon Ave, Ste G, Layton, UT 84041-6508 | 2010-07-18 |
| 1346565561 | Christopher L Davis | Family Medicine | 3225 W Gordon Ave, Ste 1, Layton, UT 84041-6508 | 2010-03-30 |
| 1285965293 | Traci Lynn Peterson | Nurse Practitioner | 3225 W Gordon Ave, #1, Layton, UT 84041-6508 | 2010-01-15 |
| 1518169929 | Ogden Orthopaedic Specialists, LLC | Orthopaedic Surgery | 3225 W Gordon Ave, Suite 2, Layton, UT 84041-8769 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| 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 |
|---|---|---|---|---|
| 1134611205 | Cameron Felt | Dentist | 195 E Gentile St Ste 12, Layton, UT 84041-3794 | 2018-06-04 |
| 1982107306 | Ridge Park Dental | Dentist | 2307 N Hill Field Rd Ste 101, Layton, UT 84041-6890 | 2018-03-12 |
| 1437688694 | Brady Benjamin Nielsen | Dentist | 880 Heritage Park Blvd Ste 220, Layton, UT 84041-5680 | 2017-06-09 |
| 1679957567 | Pdc Layton LLC | Dentist | 2152 N Hill Field Rd, Ste 2, Layton, UT 84041-4728 | 2015-07-10 |
| 1265859300 | Ty Flint | Dentist | 1147 Rosewood Ln Ste 1, Layton, UT 84041-5116 | 2014-03-26 |
| 1104119601 | Jackson Dental LLC | Dentist | 1868 N 400 W Ste 110, Layton, UT 84041-2191 | 2011-05-17 |
| 1740571579 | Clark Roland Finlinson | Dentist | 195 E Gentile St Ste 1, Layton, UT 84041-3754 | 2011-04-27 |
| 1235354168 | Jeffry J Neville | Dentist | 743 N King St, Suite 300, Layton, UT 84041 | 2007-04-16 |
| 1952429060 | Brad Salmon | Dentist | 1086 North Fairfield Road, Layton, UT 84040 | 2007-03-27 |
| 1568593929 | John Juel Christensen | Dentist | 2121n. 1700 W., Layton, UT 84041-6153 | 2007-03-08 |
| Find all providers in LAYTON | ||||
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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.