UNIVERSITY OF UTAH DENTAL SERVICES (NPI# 1821446279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821446279 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Other Organization Name | UNIVERSITY HOSPITAL SCHOOL OF DENTISTRY |
| Practice Address |
530 S Wakara Way Salt Lake City UT 84108-1213 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876453 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | JAMES H BEKKER (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| University Hospital School of Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609631 | University of Utah Dental Services | Clinic/Center | 50 N Medical Dr, Clinic 7, Salt Lake City, UT 84132-0001 | 2016-06-08 |
| 1043668379 | University of Utah Dental Services | Clinic/Center | 7495 S State St, Midvale, UT 84047-2013 | 2016-05-26 |
| 1194119685 | University of Utah Dental Services | Otolaryngology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
| 1184018673 | University of Utah Dental Services | Dentist | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
| 1952794851 | University of Utah Dental Services | Dentist | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2015-03-17 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| Street Address |
530 S WAKARA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881913143 | Kevin Croft | Dentist | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2010-05-26 |
| 1760002737 | Zachary Thomas Osborne | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-04-20 |
| 1144858234 | Rebecca Arianne Schneider | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-04-01 |
| 1083242341 | Aaron Brooksbank | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-03-31 |
| 1164050860 | Paige Holbrook | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-03-29 |
| 1164050977 | Lura Frye | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-03-28 |
| 1164059408 | Jacob Roy Rounds | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-03-26 |
| 1023645454 | Brittney Pauline Ciszek | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-03-25 |
| 1952938490 | Erin Down | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2020-03-25 |
| 1720541709 | Brandon Bowen | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1013367036 | City Creek Dental, Pllc | Clinic/Center | 175 S West Temple Ste 100, Salt Lake City, UT 84101-1443 | 2016-06-21 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1871972687 | Richard A. Parkin, Dds, PC | Clinic/Center | 4046 S Highland Dr Ste 113, Salt Lake City, UT 84124-1689 | 2015-05-26 |
| 1730581919 | Triple Crown Dental Pllc | Clinic/Center | 2725 E Parleys Way, Suite 150, Salt Lake City, UT 84109-1667 | 2014-09-19 |
| 1053732958 | Cottonwood Pediatric Dentistry | Clinic/Center | 7050 S Highland Dr, Suite #110, Salt Lake City, UT 84121-3749 | 2013-12-18 |
| 1851538862 | Salt Lake Donated Dental Services | Clinic/Center | 1383 S 900 W, Suite 128, Salt Lake City, UT 84104-1603 | 2009-01-13 |
| 1831346527 | Van Leeuwen Dental, LLC | Clinic/Center | 6936 Promenade Dr, #201, Salt Lake City, UT 84121-3391 | 2008-08-25 |
| 1184245474 | Nic - Salt Lake City, Pllc | Clinic/Center | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-28 |
| 1285194738 | Bender Dental LLC | Clinic/Center | 1345 E Fort Union Blvd, Salt Lake City, UT 84121-2859 | 2019-03-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.