INTERMOUNTAIN DENTAL ASSOCIATES- ORTHO- CACHE VALLEY (NPI# 1679842793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679842793 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN DENTAL ASSOCIATES- ORTHO- CACHE VALLEY |
| Practice Address |
2721 N 400 E Suite 2 North Ogden UT 84414-2393 |
| Practice Telephone | 8017825682 |
| Practice Fax Number | 8017860520 |
| Mailing Telephone | 8017825682 |
| Mailing Fax Number | 8017860520 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | VICKI LEWIS (SPECIALIST COORDINATOR) |
| Authorized Official Telephone | 8017825682 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERMOUNTAIN DENTAL ASSOCIATES SPECIALTY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
144024-9922 | UT | Dental Providers |
| Street Address |
2721 N 400 E SUITE 2 |
| City | NORTH OGDEN |
| State | UT |
| Zip Code | 84414-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863599 | Callie Murray, Lcsw, LLC | Counselor | 2721 N 400 E, Suite 8, North Ogden, UT 84414-2393 | 2007-10-16 |
| 1598033409 | Intermountain Dental Associates - Surgical Associates | Dentist | 2721 N 400 E, Suite 2, North Ogden, UT 84414-2393 | 2011-12-06 |
| 1093083990 | Intermountain Dental Associates -periodontics | Dentist | 2721 N 400 E, Suite 2, North Ogden, UT 84414-2393 | 2011-12-06 |
| 1881962785 | Intermountain Dental Associates-endodontics | Dentist | 2721 N 400 E, Suite 2, North Ogden, UT 84414-2393 | 2011-12-06 |
| 1700154606 | Intermountain Dental Associates -ortho-mtn View | Dentist | 2721 N 400 E, Suite 2, North Ogden, UT 84414-2393 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881986305 | Abigail Lauren Jenkins | Psychologist | 3836 N 700 E, Ogden, UT 84414 | 2011-05-03 |
| 1003145947 | Lomond View Dental | Dentist | 2685 North 1000 West, Suite 101, Pleasant View, UT 84414 | 2009-12-23 |
| 1609058528 | Pleasant View Dialysis | Clinic/Center | 2715 N Hwy 89, Pleasant View, UT 84414 | 2007-12-03 |
| 1902934243 | Jlsco LLC | Pharmacy | 2645 N Washington Blvd, North Ogden, UT 84414 | 2007-02-28 |
| 1700930716 | Choice Supported Employment Services Inc | Day Training, Developmentally Disabled Services | 3942 N 650 W, Community Based Services To Help Find Employment Commun, Pleasant View, UT 84414 | 2007-01-23 |
| 1891873055 | Michael Stephen Affleck | Dentist | 2537 N 400e, North Ogden, UT 84414 | 2006-11-02 |
| 1659453421 | Michael Dale Swenson | Dentist | 2252 N 400 E, North Ogden, UT 84414 | 2006-10-20 |
| 1477662187 | Paul D Hopkins Dds PC | Dentist | 859 W Pleasant View Dr, Pleasant View, UT 84414 | 2006-08-29 |
| 1801812714 | Brendan Rodney Green | Dentist | 2707 North 400 East, North Ogden, UT 84414 | 2006-07-14 |
| 1669419701 | Mark E Harris | Dentist | 2274 N 400 E, Suite 204, North Ogden, UT 84414 | 2006-05-31 |
| Find all providers in zip 84414 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124045794 | Steven H Broadbent | Dentist | 2707 N 400 E, North Ogden, UT 84414-2241 | 2006-07-17 |
| 1972113322 | Ray Garner Dds PC | Dentist | 365 E Lomond View Dr, North Ogden, UT 84414-2269 | 2020-07-31 |
| 1700154606 | Intermountain Dental Associates -ortho-mtn View | Dentist | 2721 N 400 E, Suite 2, North Ogden, UT 84414-2393 | 2011-12-06 |
| 1326052804 | Richard Steven Broadbent | Dentist | 2707 N 400 E, North Ogden, UT 84414-2241 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100295 | Riley Hunsaker | Dentist | 10654 S River Heights Dr, South Jordan, UT 84095-5522 | 2020-10-09 |
| 1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
| 1346884335 | Orthodontics of St. George, P.C. | Dentist | 965 E 700 S Ste 101, St George, UT 84790-4084 | 2019-11-01 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1366096208 | Hailee Rask | Dentist | 2255 N University Pkwy Ste 37, Provo, UT 84604-1503 | 2019-07-29 |
| 1477112779 | Alan Clawson Baugh | Dentist | 4019 W 12600 S Ste 210, Riverton, UT 84096-7407 | 2019-06-10 |
| 1821553785 | Raymond Scott Hlavaty | Dentist | 150 E 200 N Ste A, Logan, UT 84321-4036 | 2019-02-05 |
| 1235601659 | Burke and Beckstrom Orthodontics | Dentist | 446 S Mall Dr Ste 100, St George, UT 84790-4944 | 2018-12-24 |
| 1194294488 | Kent Joseph Baugh | Dentist | 164 E 5900 S Ste A109, Murray, UT 84107-7248 | 2018-11-16 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH OGDEN |
| Zip Code | 84414 |
Please comment or provide details below to improve the information on INTERMOUNTAIN DENTAL ASSOCIATES- ORTHO- CACHE VALLEY.
| 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.