CRESCENT DENTAL, INC. (NPI# 1902008048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902008048 |
| Entity Type | Organization |
| Organization Name | CRESCENT DENTAL, INC. |
| Practice Address |
5547 So. 4015 W. Suite 2 Taylorsville UT 84118-4408 |
| Practice Telephone | 8019570130 |
| Mailing Telephone | 8019570130 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHANEEN J WINTCH (OWNER) |
| Authorized Official Telephone | 8019570130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4449 | UT | Dental Providers |
| Street Address |
5547 SO. 4015 W. SUITE 2 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84118-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527500 | Hoan K Doan | Case Manager/Care Coordinator | 3809 West 6200 South, Kearns, UT 84118 | 2018-05-02 |
| 1750664785 | Giao L Tran | Pharmacist | 5586 W 6200 S, Slc, UT 84118 | 2011-09-26 |
| 1982913406 | Brent James Seely | Counselor | 5934 S 8400 W, Kearns, UT 84118 | 2010-10-01 |
| 1558593830 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Early Intervention Provider Agency | 5242 South 4820 West, Att Janet Wade, Kearns, UT 84118 | 2009-08-20 |
| 1063643120 | Phung Matthews | Pharmacist | 1837 West 4700 South, Taylorsville, UT 84118 | 2009-08-06 |
| 1689824963 | Mary Candace Christensen | Social Worker | 3703 West 6200 South, Valley Mental Health Artec - Therapeutic Foster Care, Bennion, UT 84118 | 2008-09-24 |
| 1164695128 | Life's Endeavour | Chiropractor | 2494 West Sharron Drive, Taylorsville, UT 84118 | 2008-04-10 |
| 1750585485 | Wendy Kay Cotting | Pediatrics | Taylorsville Kidscare, 3845 W. 4700 S., Taylorsville, UT 84118 | 2007-06-14 |
| 1720102841 | Wendy Lee Bingham | Physical Therapist | 3845 W. 4700 S., Ihc Taylorsville Health Center, Taylorsville, UT 84118 | 2007-03-16 |
| 1417028952 | Terry Milo Hansen | Optometrist | 2828 West 4700 South, Suite D, West Valley City, UT 84118 | 2006-11-13 |
| Find all providers in zip 84118 | ||||
| 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 |
|---|---|---|---|---|
| 1982987608 | Randal Roberts | Dentist | 6321 S Redwood Rd Ste 206, Taylorsville, UT 84123-6972 | 2011-09-20 |
| 1285920629 | John Mark Snider Jr. | Dentist | 880 Taylorsville Rd, Taylorsville, KY 40071-9772 | 2011-06-23 |
| 1679869184 | Matthew Alan Bormann | Dentist | 501 Taylorsville Rd., Taylorsville, KY 40071 | 2011-06-22 |
| 1437310885 | David Mcgowan | Dentist | 4744 Nina Marie Cir, Taylorsville, UT 84123-3478 | 2008-06-18 |
| 1801055652 | Thomas F Lundeen | Dentist | 633 Old Landfill Road, Nc Department of Corrections Axci 4870, Taylorsville, NC 28681-0909 | 2008-06-06 |
| 1083775837 | Stephen Eldredge | Dentist | 5419 S Redwood Rd, Taylorsville, UT 84123-5318 | 2006-12-13 |
| 1720183585 | Horizon Dental of Taylorsville | Dentist | 2195 W 5400 S, #203, Taylorsville, UT 84118-1431 | 2006-09-14 |
| 1780692772 | Howard Leon Plant Jr. | Dentist | 167 First Ave Sw, Taylorsville, NC 28681 | 2006-08-04 |
| 1033132667 | Susan Horldt Bridges | Dentist | 322 1st Ave Sw, Taylorsville, NC 28681-2402 | 2006-07-25 |
| 1073572608 | Michael B.hill, Dds, PC | Dentist | 1951 W 4700 S, Suite #4, Taylorsville, UT 84118-1108 | 2006-03-22 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84118 |
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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.