MARK SPENCER MCGOWAN (NPI# 1659661288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659661288 |
| Entity Type | Individual |
| Full Name | MARK SPENCER MCGOWAN |
| Credential | D.M.D. |
| Practice Address |
415 Medical Dr A200 Bountiful UT 84010-4946 |
| Practice Telephone | 8012030290 |
| Mailing Telephone | 8012030290 |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
80087979922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023280732 | Mark Raymond Mcgowan | Psychologist | 1176 Grant St, Suite 2220, Indiana, PA 15701-2870 | 2008-04-02 |
| 1790862555 | Mark Leroy Mcgowan | Chiropractor | 145 Faunce Corner Rd, North Dartmouth, MA 02747-1263 | 2006-11-01 |
| 1023476298 | Mark Mcgowan | Registered Nurse | Hwy 160/163 Bldg Ka2010, Kayenta, AZ 86033-0368 | 2016-02-03 |
| 1720015902 | Mark Scheer Mcgowan | Internal Medicine | 1260 15th St, 1501, Santa Monica, CA 90404-1135 | 2006-06-26 |
| Street Address |
415 MEDICAL DR A200 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848338 | Christine A Cheng | Specialist | 415 Medical Dr, Suite D102, Bountiful, UT 84010-4946 | 2005-08-10 |
| 1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
| 1982139903 | Karen Louise Nickl | Psychologist | 415 Medical Dr, Suite B101, Bountiful, UT 84010-4946 | 2017-04-27 |
| 1427592740 | Heather Dillon | Assistant Behavior Analyst | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2016-12-05 |
| 1295286383 | Luekenga Way, LLC | Audiologist | 415 Medical Dr, 202a, Bountiful, UT 84010-4946 | 2016-10-24 |
| 1942657960 | Paul C Larsen Dmd PC | Dentist | 415 Medical Dr, Ste D201, Bountiful, UT 84010-4946 | 2016-05-19 |
| 1467831586 | Rita Zimmerman | Counselor | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2015-05-21 |
| 1942641931 | Neurobehavioral Center for Growth LLC | Psychologist | 415 Medical Dr, Suite A 201, Bountiful, UT 84010-4946 | 2013-07-08 |
| 1164723482 | Joe R Nielsen Md PC | Clinic/Center | 415 Medical Dr, D-200, Bountiful, UT 84010-4946 | 2010-11-03 |
| 1104061191 | William T Sadler Md PC | Internal Medicine | 415 Medical Dr, Suite C202, Bountiful, UT 84010-4946 | 2008-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1508387564 | Bountiful Ridge Dental, LLC | Dentist | 415 Medical Dr Ste A200, Bountiful, UT 84010-4970 | 2017-06-29 |
| 1154737781 | Mercedes Hanks | Dentist | 25 S 500 W, Ste D, Bountiful, UT 84010-8726 | 2014-07-03 |
| 1861803744 | Stubbs Dental | Dentist | 3383 Orchard Dr, Bountiful, UT 84010-8005 | 2014-05-14 |
| 1558684472 | Hyrum M Cannon | Dentist | 55 E 2200 S, Bountiful, UT 84010-5619 | 2010-03-05 |
| 1396071171 | Brandon Richard Bohn | Dentist | 469 Medical Dr Ste 200, Bountiful, UT 84010-8922 | 2009-10-28 |
| 1831350289 | Andrew Micah Vernon | Dentist | 366 E 2200 S, Bountiful, UT 84010-5626 | 2008-06-18 |
| 1780885947 | James Russon | Dentist | 817 N 250 W, Danbury Lane, Bountiful, UT 84010-6873 | 2007-05-29 |
| 1184742264 | Paul Christian Larsen | Dentist | 395 E 500 S, Bountiful, UT 84010-4924 | 2007-03-27 |
| 1447384268 | Craig J. Mattinson | Dentist | 1355 N Main St Ste 9, Bountiful, UT 84010-5982 | 2007-03-15 |
| 1295871721 | Robert F Page | Dentist | 535 E 500 S Ste C, Bountiful, UT 84010-3873 | 2007-01-30 |
| Find all providers in BOUNTIFUL | ||||
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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.