DR. STEVEN C BRUDERER (NPI# 1841448008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841448008 |
| Entity Type | Individual |
| Full Name | DR. STEVEN C BRUDERER |
| Credential | D.M.D. |
| Practice Address |
1887 Aaron Dr Ste A Tooele UT 84074-8138 |
| Practice Telephone | 4358339900 |
| Mailing Telephone | 4358339900 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6662737-9922 | UT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
6662737-9921 | UT | Dental Providers |
| Street Address |
1887 AARON DR STE A |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-8138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527755 | Blue Rock Family Dental, Pllc | Clinic/Center | 1887 Aaron Dr Ste A, Tooele, UT 84074-8138 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| 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 |
|---|---|---|---|---|
| 1144646522 | Bright Smiles Dental | Dentist | 88 E 700 N Ste B, Tooele, UT 84074-1818 | 2014-03-10 |
| 1245352285 | K T Reese Dds A Professional Corporation | Dentist | 215 S 200 E, Tooele, UT 84074-2714 | 2007-04-03 |
| 1174659791 | Brett R Wells | Dentist | 668 No Garden St, Tooele, UT 84074-1724 | 2007-02-26 |
| 1689716045 | Aaron J Stobbe | Dentist | 394 S Main St, Tooele, UT 84074-2746 | 2007-02-13 |
| 1932272945 | Rosewood Dental Associates LLC | Dentist | 181 W Vine St, Suite A, Tooele, UT 84074-2036 | 2006-11-16 |
| 1043236680 | Clair Reed Vernon | Dentist | 271 S Main St, Tooele, UT 84074-2743 | 2006-07-15 |
| 1861521973 | Hans Dalan Smith | Dentist | 88 E 700 N, Suite B, Tooele, UT 84074-1817 | 2007-03-05 |
| 1508992132 | Michael G Wells | Dentist | 668 No Garden St, Tooele, UT 84074-1724 | 2007-02-26 |
| 1205909298 | Michael Steven Rockwell | Dentist | 181 W Vine St, Suite A, Tooele, UT 84074-2036 | 2006-11-16 |
| 1639242639 | Landon Bret Rockwell | Dentist | 181 W Vine St, Suite A, Tooele, UT 84074-2036 | 2006-11-16 |
| Find all providers in TOOELE | ||||
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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.