INTERMOUNTAIN DENTAL SPECIALISTS, LLC


Address: 1747 Heritage Ln, Syracuse, UT 84075-8552
Phone: 8018413300

INTERMOUNTAIN DENTAL SPECIALISTS, LLC (NPI# 1780048868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780048868
Entity Type Organization
Organization Name INTERMOUNTAIN DENTAL SPECIALISTS, LLC
Practice Address 1747 Heritage Ln
Syracuse
UT 84075-8552
Mailing Address 3150 Sawtelle Blvd Apt 308
Los Angeles
CA 90066-1445
Practice Telephone 8018413300
Mailing Telephone 7074909125
Enumeration Date 2016-04-05
Last Update Date 2016-04-05
Authorized Official Name DR. KEVIN CAHOON (DDS)
Authorized Official Telephone 8015609757
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
6413227-9922 UT Dental Providers

Office Location

Street Address 1747 HERITAGE LN
City SYRACUSE
State UT
Zip Code 84075-8552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629037379 Alan David Wilding Dentist 1747 Heritage Ln, Suite A-1, Syracuse, UT 84075-8552 2006-03-21
1417266297 Terrence Mark Spalding Social Worker 1747 Heritage Ln, Suite B103, Syracuse, UT 84075-8552 2010-09-28
1467603753 Live Strong Counseling and Health Services, LLC Social Worker 1747 Heritage Ln, Syracuse, UT 84075-8552 2008-10-04
1497945711 Steve Hibbert Dentist 1747 Heritage Ln, Ste B202, Syracuse, UT 84075-8552 2007-08-01
1275746950 Kirby Ian Potter Social Worker 1747 Heritage Ln, Suite B - 103, Syracuse, UT 84075-8552 2007-05-08
1962572529 Heritage Dental Associates Dentist 1747 Heritage Ln, Suite A-1, Syracuse, UT 84075-8552 2006-11-09
1194755652 Michael L. Gailey Dentist 1747 Heritage Ln, Suite B201, Syracuse, UT 84075-8552 2006-07-03
1841250990 Andrew Kevin Nield Dentist 1747 Heritage Ln, Suite A-1, Syracuse, UT 84075-8552 2006-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750775235 Syracuse Assisted Living Phase I Assisted Living Facility 2063 W. 1900 S., Syracuse, UT 84075 2015-03-24
1881975464 Norman Kent Sharp II Dentist 1662 S 2000 W Ste A1, Syracuse, UT 84075 2011-09-08
1245471705 Ihc Health Services Inc Family Medicine 745 South 2000 West, Syracuse, UT 84075 2009-03-13
1124240197 Richard Jackson Psychologist 2650 West 2700 South, Syracuse, UT 84075 2007-05-02
1679799902 Nathan Wesley Elmore Chiropractor 1842 South 2000 West, Syracuse, UT 84075 2007-04-17
1972635332 Aspen Institute for Behavioral Assessment Psychiatric Residential Treatment Facility 2732 W 2700 S, Syracuse, UT 84075 2007-03-12
1427111558 Sheldon L Peck Dentist 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 2006-12-19
1811081771 Tyler R Elmore Chiropractor 1013 W 2700 S, Syracuse, UT 84075 2006-10-03
1235247438 Brett R Coleman Dentist 780 S 2000 W, Bldg E304, Syracuse, UT 84075 2006-08-28
1164431177 Kipton Jay Norris Dentist 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 2006-08-07
Find all providers in zip 84075

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518262773 Stanley M. Kaplan Dentist 600 E. Genesee St., Suite 113, Syracuse, NY 13202 2011-01-20
1912919184 Endodontic Associates PC Dentist 600 East Genesee St, Suite 113, Syracuse, NY 13202 2006-08-13
1801156591 Jessica Lauren Spinella Dentist 910 Erie Blvd E, Syracuse, NY 13210 2012-05-29
1124210919 Kevin Mark Fahey Dentist 600 East Genesee St, Syracuse, NY 13202 2007-08-15
1669663316 Michael Robert Moynihan Dentist 600 East Genesee Street, Suite #113, Syracuse, NY 13202 2007-08-07
1164620951 William Perry Baker IIi Dentist 600 E Genesee St, Ste 113, Syracuse, NY 13202-3130 2007-07-03
1336344829 Gregory Scott Warne Dentist 600 East Genesee Street, Suite 113, Syracuse, NY 13202-3108 2007-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1689186272 Itooth, LLC Dentist 181 W Vine St Ste B, Tooele, UT 84074-2084 2017-11-03
1457874059 White Pine Endodontics PC Dentist 169 N Gateway Dr Ste 200, Providence, UT 84332-9516 2017-07-25
1801248885 Stephen Rees Dentist 5334 S Woodrow St Ste 201, Murray, UT 84107-5838 2016-07-01
1437598521 Desert Endodontics LLC Dentist 1224 S River Rd Ste 2, Saint George, UT 84790-8285 2013-06-21
1457618423 Brandon Charles Pitcher Dentist 24 S 500 W Ste D, Bountiful, UT 84010-7188 2012-04-16
1376845610 Alcorn Family Dentistry Dentist 5455 W. 11000 No., #103, Highland, UT 84003 2010-11-18
1922235639 Brad Richard Christensen Dentist 1149 S 450 W, Suite 105, Brigham City, UT 84302-6707 2009-06-20
1861637308 Endodontic Associates Dentist 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 2008-12-12
1790948594 Stuart G. Gibby Dentist 2719 North Highway 89, Suite 100, Pleasant View, UT 84404 2008-07-02
Find all providers with the same taxonomy

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City SYRACUSE
Zip Code 84075

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Dataset Information

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.

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