KYLE SPACKMAN (NPI# 1639730617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639730617 |
| Entity Type | Individual |
| Full Name | KYLE SPACKMAN |
| Credential | DDS |
| Practice Address |
105 S 200 W Richmond UT 84333-1278 |
| Mailing Address |
98 W 100 S Smithfield UT 84335-1956 |
| Practice Telephone | 4352582301 |
| Mailing Telephone | 4356686479 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11299320-9922 | UT | Dental Providers |
| Street Address |
105 S 200 W |
| City | RICHMOND |
| State | UT |
| Zip Code | 84333-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134237670 | Cherry Creek Dental | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2006-08-25 |
| 1487736443 | Monte Carlson | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2006-10-19 |
| 1669554580 | Anthony Larson | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1346342110 | Sharik L Peck | Specialist | 405 S 200 W, Richmond, UT 84333-1267 | 2006-09-02 |
| 1659427995 | Sheridan L Peck | Occupational Therapist | 405 S 200 W, Richmond, UT 84333-1267 | 2007-01-27 |
| 1427213594 | Brandon Michael Priebe | Dentist | 105 Highway 91, Richmond, UT 84333-1278 | 2008-07-28 |
| 1578805149 | Cliff Lawrence Mitchell | Veterinarian | 191 W 100 N, Richmond, UT 84333-1404 | 2013-03-21 |
| 1881940302 | Kwin Leslie Willis | Marriage & Family Therapist | 44 N Highway 91 Ste 1, Richmond, UT 84333-1419 | 2012-08-02 |
| 1760816136 | Thomas Rudolph Roskos | Psychologist | 691 S State St, Richmond, UT 84333-1568 | 2013-08-21 |
| 1457588261 | William Eric Strong | Speech-Language Pathologist | 1 E Main St, Richmond, UT 84333-1774 | 2009-06-18 |
| 1871727107 | Elizabeth Joyce Strong | Speech-Language Pathologist | 1 E Main St, Richmond, UT 84333-1774 | 2009-05-14 |
| 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 |
|---|---|---|---|---|
| 1528675717 | South Texas Sleep Medicine LLC | Dentist | 8710 Grand Mission Blvd Ste A, Richmond, TX 77407-5413 | 2020-09-30 |
| 1780159764 | Krysten Marie Herrero | Dentist | 1821 Mactavish Ave Apt 2319, Richmond, VA 23230-4336 | 2018-10-05 |
| 1083189179 | Saurabh Mankotia | Dentist | 5614 W Grand Pkwy S Ste 120, Richmond, TX 77406-5820 | 2018-10-04 |
| 1952887762 | Joseph Eugene Bartholomew IIi | Dentist | 521 N. 11th Street, Vcu School of Dentistry Aegd Clinic, Richmond, VA 23298 | 2018-07-15 |
| 1437635331 | Shannon Andrews Kittrell | Dentist | 8804 Patterson Ave Ste 100, Richmond, VA 23229-6361 | 2018-07-13 |
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265927065 | Hina Asghar | Dentist | 7 N 8th St Apt 1102, Richmond, VA 23219-3329 | 2018-06-25 |
| 1467946269 | Ideal Dental of Aliana Pllc | Dentist | 4818 Waterview Town Center, Suite 100, Richmond, TX 77406-1438 | 2018-06-15 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| Find all providers in RICHMOND | ||||
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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.