STATION PARK DENTAL LLC (NPI# 1689159147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689159147 |
| Entity Type | Organization |
| Organization Name | STATION PARK DENTAL LLC |
| Practice Address |
1060 W Park Ln Ste 110 Farmington UT 84025-2992 |
| Practice Telephone | 8014971332 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | RYAN BLAINE ALLEN (OWNER) |
| Authorized Official Telephone | 8014971332 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1060 W PARK LN STE 110 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285887448 | Timothy M. O'bryan Dds, LLC | Clinic/Center | 12 E Harrison St, Farmington, MO 63640-1859 | 2008-10-30 |
| 1053923656 | Family Dentistry of Farmington | Clinic/Center | 24001 Orchard Lake Rd Ste 160, Farmington, MI 48336-2553 | 2020-08-17 |
| 1619514718 | Farmington Dental Pllc | Clinic/Center | 200 Mountain Rd, Farmington, CT 06032-2479 | 2019-12-08 |
| 1619446077 | Cordell Lake, D.d.s., LLC | Clinic/Center | 12 E Harrison St, Farmington, MO 63640-1859 | 2018-11-15 |
| 1598193088 | Derek Graff Dmd Ltd | Clinic/Center | 3180 N Butler Ave, Bldg 200, Farmington, NM 87401-2334 | 2013-10-22 |
| 1417200932 | Compassion Dental 06032 | Clinic/Center | 222 Main St, #251, Farmington, CT 06032-3623 | 2012-10-22 |
| 1962760462 | Pdg, P.a. | Clinic/Center | 511 Elm St, Farmington, MN 55024-1126 | 2012-05-03 |
| 1679740013 | San Juan College | Clinic/Center | 4601 College Blvd, Dental Clinic, Farmington, NM 87402-4609 | 2008-05-14 |
| 1295937977 | Westmount Dental Arts | Clinic/Center | 1273 Doctors Dr, Farmington, MO 63640-2947 | 2007-06-04 |
| 1922029768 | University Dentists | Clinic/Center | 263 Farmington Ave, Mc2105, Farmington, CT 06030-0001 | 2006-07-21 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on STATION PARK DENTAL LLC.
| 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.