RIVERS EDGE DENTAL LLC (NPI# 1821220104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821220104 |
| Entity Type | Organization |
| Organization Name | RIVERS EDGE DENTAL LLC |
| Practice Address |
Village At Rivers Edge 1241 Village Main Dr Bld 1, Suite B West Valley UT 84119 |
| Practice Telephone | 8019781000 |
| Practice Fax Number | 8019781001 |
| Mailing Telephone | 8019781000 |
| Mailing Fax Number | 8019781001 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | DR. CODY MCGARRY (OWNER) |
| Authorized Official Telephone | 8019781000 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7020797-9922 | UT | Dental Providers |
| Street Address |
VILLAGE AT RIVERS EDGE 1241 VILLAGE MAIN DR BLD 1, SUITE B |
| City | WEST VALLEY |
| State | UT |
| Zip Code | 84119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| 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 |
|---|---|---|---|---|
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1568619930 | Cody Mcgarry | Dentist | 3280 W 3500 S, Suite 2, West Valley, UT 84119-2668 | 2008-08-27 |
| 1053431247 | Ronald David Barngrover | Dentist | 4085 S 2200 W, Suite B, West Valley, UT 84119-6574 | 2007-03-30 |
| 1043352602 | Century Dental West Lc | Dentist | 4445 W 3500 South, West Valley, UT 84120 | 2007-02-12 |
| 1053734384 | Access Professional Dental Care,llc | Dentist | 4577 S 4000 W, West Valley, UT 84120-6222 | 2014-01-22 |
| 1598010464 | Benjamin Wilson | Dentist | 1819 W 3500 S, West Valley, UT 84119-3457 | 2012-07-17 |
| 1326371410 | Thomas Austen Broadbent | Dentist | 3540 S 4000 W, Suite #140, West Valley, UT 84120-3260 | 2009-09-08 |
| 1154468908 | Robert Taylor World Jr. | Dentist | 3540 S 4000 W, West Valley, UT 84120-3260 | 2007-01-31 |
| 1407993124 | Kim Colleen Maki-world | Dentist | 3540 S 4000 W, Suite #140, West Valley, UT 84120-3260 | 2007-01-31 |
| 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 | ||||
| City | WEST VALLEY |
| Zip Code | 84119 |
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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.