PLATINUM DENTAL CARE (NPI# 1669745477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669745477 |
| Entity Type | Organization |
| Organization Name | PLATINUM DENTAL CARE |
| Practice Address |
279 E 5900 S Suite 200 Murray UT 84107-5421 |
| Mailing Address |
279 E 5900 S Suite 200 Murray UT 84107 |
| Practice Telephone | 8012931234 |
| Practice Fax Number | 8012930287 |
| Mailing Telephone | 8012931234 |
| Mailing Fax Number | 8012930287 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Authorized Official Name | MR. VINCENT DILLEY (OWNER) |
| Authorized Official Telephone | 8016553788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 12604477-003-STC | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1730625559 | Platinum Dental Care | Dentist | 10984 Middlebelt Rd, Livonia, MI 48150-3058 | 2017-01-18 |
| Street Address |
279 E 5900 S SUITE 200 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043283856 | Stanton Miller Smith | Podiatrist | 279 E 5900 S, Suite 102, Murray, UT 84107-5421 | 2006-02-10 |
| 1689078792 | Huge Marketing | Dentist | 279 E 5900 S, Ste. 202, Murray, UT 84107-5421 | 2014-10-17 |
| 1255663761 | Jared S. Dowell, D.c., LLC | Chiropractor | 279 E 5900 S, Ste 100, Murray, UT 84107-5421 | 2010-02-08 |
| 1043540388 | Jared Dowell | Chiropractor | 279 E 5900 S, Ste. 100, Murray, UT 84107-5421 | 2010-01-08 |
| 1346418621 | Stanton M. Smith | Durable Medical Equipment & Medical Supplies | 279 E 5900 S, #102, Murray, UT 84107-5421 | 2008-02-20 |
| 1639206295 | Melissa Renee Jenkins-watkins | Dentist | 279 E 5900 S, Suite #200, Murray, UT 84107-5421 | 2007-02-28 |
| 1336164847 | Adam D. Marberger | Dentist | 279 E 5900 S, #202, Murray, UT 84107-5421 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942722384 | Dagna Sara Brendlinger | Dental Assistant | 420 W Cadbury Dr Apt J112, South Jordan, UT 84095-5816 | 2017-07-07 |
| 1134582943 | Nina Daniels | Dental Assistant | Foothill Dr, Salt Lake City, UT 84148-0001 | 2016-03-30 |
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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.