MR. SHAWN REED GROLL (NPI# 1700801644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801644 |
| Entity Type | Individual |
| Full Name | MR. SHAWN REED GROLL |
| Credential | DMD |
| Practice Address |
26 W Main St Hyrum UT 84319-1206 |
| Practice Telephone | 4352455866 |
| Practice Fax Number | 4352455869 |
| Mailing Telephone | 4352455866 |
| Mailing Fax Number | 4352455869 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
973464979922 | UT | Dental Providers |
| Street Address |
26 W MAIN ST |
| City | HYRUM |
| State | UT |
| Zip Code | 84319-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033660 | Gunnell Family Dentistry | Dentist | 26 W Main St, Hyrum, UT 84319-1292 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346313046 | Charles James Graham | Family Medicine | 10 N 600 E, Hyrum, UT 84319-0339 | 2006-11-17 |
| 1932316692 | Kevin N Barlow | Marriage & Family Therapist | 186 N 450 W, Hyrum, UT 84319-1077 | 2007-05-16 |
| 1790071033 | Kenyon James Bott | Nurse Practitioner | 133 N 500 W, Hyrum, UT 84319-1080 | 2011-06-24 |
| 1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
| 1578611273 | Jon L. Stucky | Chiropractor | 130 N 800 E, Hyrum, UT 84319-1150 | 2007-01-08 |
| 1891044889 | Stucky Chiropractic PC | Chiropractor | 130 N 800 E, Hyrum, UT 84319-1150 | 2012-09-05 |
| 1699322693 | Cassie Milligan | Nurse Practitioner | 26 W Main St Ste 3a, Hyrum, UT 84319-1206 | 2019-08-23 |
| 1184271215 | Hc Healthcare, LLC | Family Medicine | 26 W Main St # 3a, Hyrum, UT 84319-1206 | 2019-08-22 |
| 1073120515 | County of Cache | Ambulance | 46 N 100 W, Hyrum, UT 84319-1228 | 2020-09-29 |
| 1467081448 | Colby Martin, LLC | Emergency Medicine | 26 W Main St Ste 3a, Hyrum, UT 84319-1293 | 2020-04-02 |
| Find all providers in zip 84319 | ||||
| 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 |
|---|---|---|---|---|
| 1063033660 | Gunnell Family Dentistry | Dentist | 26 W Main St, Hyrum, UT 84319-1292 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625407 | Austin Keith Woodfield | Dentist | 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 | 2020-09-29 |
| 1750992111 | Jennifer Lin Sorge | Dentist | 532 N Mallard Dr Unit A, Vineyard, UT 84059-6606 | 2020-08-11 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1679182612 | Liberty Mountain Dental LLC | Dentist | 6351 W 13400 S Ste 100, Herriman, UT 84096-5601 | 2020-07-27 |
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1376167502 | Ashleigh Dearing | Dentist | 1652 N Blackhawk Dr, Saratoga Springs, UT 84045-5810 | 2020-06-03 |
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
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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.