WASATCH DENTAL ASSOCIATION, P.C. (NPI# 1639479488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639479488 |
| Entity Type | Organization |
| Organization Name | WASATCH DENTAL ASSOCIATION, P.C. |
| Practice Address |
1245 Capitol St Suite 106-s Ogden UT 84401-2847 |
| Practice Telephone | 8013940401 |
| Practice Fax Number | 8013940644 |
| Mailing Telephone | 8013940401 |
| Mailing Fax Number | 8013940644 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |
| Authorized Official Name | LAURENCE R PALMER (OWNER) |
| Authorized Official Telephone | 8013940401 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
144526 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 518883937000 | 05 |
| Street Address |
1245 CAPITOL ST SUITE 106-S |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891704516 | Charles Ray Moser | Dentist | 1245 Capitol St, Suite #122-n, Ogden, UT 84401-2847 | 2006-08-05 |
| 1982831020 | Mark H Redd | Dentist | 1245 Capitol St, 121-n, Ogden, UT 84401-2847 | 2009-06-16 |
| 1134361157 | Capitol Dental Inc. | Preferred Provider Organization | 1245 Capitol St, Suite 121-n, Ogden, UT 84401-2847 | 2009-04-06 |
| 1356561757 | Robert J Torghele | Dentist | 1245 Capitol St, Ste. 112n., Ogden, UT 84401-2847 | 2007-04-26 |
| 1598824047 | James N. Jones Jr. | Dentist | 1245 Capitol St, Suite 121-n, Ogden, UT 84401-2847 | 2006-12-08 |
| 1730299694 | Gregory Alan Booth | Dentist | 1245 Capitol St, 101s., Ogden, UT 84401-2847 | 2006-08-30 |
| 1144330010 | Paul Scott Booth | Dentist | 1245 Capitol St, 101s., Ogden, UT 84401-2847 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104041565 | Patricia Smyth D.d.s.,l.c. | Clinic/Center | 5300 S. Adams Ave. Pkwy., Suite 1, Ogden, UT 84405-6955 | 2007-04-13 |
| 1003462292 | Eric G Russell Dds LLC | Clinic/Center | 5685 S 1475 E Ste 4a, Ogden, UT 84403-4598 | 2019-08-13 |
| 1386207835 | Ihc Health Services Inc | Clinic/Center | 4403 Harrison Blvd Ste 3875, Ogden, UT 84403-3332 | 2019-04-19 |
| 1992275945 | Pleasant Valley Cosmetic & Laser Dental Pllc | Clinic/Center | 5742 Adams Ave Pkwy, Ogden, UT 84405-7157 | 2018-12-03 |
| 1073010955 | Rocky Mountain Dental & Surgical Center | Clinic/Center | 2703 N 1600 W, Ogden, UT 84404 | 2018-04-09 |
| 1407243579 | Michael A Blamires Dds, Inc | Clinic/Center | 1770 Combe Rd Ste 3, Ogden, UT 84403-5067 | 2015-04-16 |
| 1851712467 | Starley Family Dental, LLC | Clinic/Center | 3590 Harrison Blvd Ste 6, Ogden, UT 84403-2012 | 2013-12-27 |
| 1255776431 | Bonneville Preventive Dentistry Pllc | Clinic/Center | 3860 Jackson Ave, Suite 6, Ogden, UT 84403-1956 | 2013-05-01 |
| 1447442496 | Midtown Community Health Center Inc | Clinic/Center | 2240 Adams Ave, Ogden, UT 84401-1511 | 2007-08-14 |
| 1235341744 | Lloyd V. Tilt, Dds,ms,pc | Clinic/Center | 3590 Harrison Blvd, Ste 3, Ogden, UT 84403-2403 | 2007-05-04 |
| Find all providers in OGDEN | ||||
Please comment or provide details below to improve the information on WASATCH DENTAL ASSOCIATION, P.C..
| 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.