DR. HEATH HENDRICKSON (NPI# 1912212895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912212895 |
| Entity Type | Organization |
| Organization Name | DR. HEATH HENDRICKSON |
| Other Organization Name | WISDOM TEETH ONLY |
| Practice Address |
2230 N University Pkwy 8a Provo UT 84604-1509 |
| Practice Telephone | 8013700050 |
| Practice Fax Number | 8013709635 |
| Mailing Telephone | 8013700050 |
| Mailing Fax Number | 8013709635 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | DR. HEATH HENDRICKSON (OWNER) |
| Authorized Official Telephone | 8013700050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 51365979922 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | HT000004-001 | 05 |
| Other Name | Type Code |
|---|---|
| Wisdom Teeth Only | Doing Business As Name - Organization |
| Street Address |
2230 N UNIVERSITY PKWY 8A |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093048 | Donald Ray Gifford | Dentist | 2230 N University Pkwy, 8-b, Provo, UT 84604-1509 | 2005-06-15 |
| 1801333604 | Danae Harding | Marriage & Family Therapist | 2230 N University Pkwy, Suite 11d, Provo, UT 84604-1509 | 2017-01-31 |
| 1952855595 | Alyson Watkins | Counselor | 2230 N University Pkwy, Suite 11d, Provo, UT 84604-1509 | 2016-08-11 |
| 1922451962 | Monson Eye Associates, LLC | Ophthalmology | 2230 N University Pkwy, Ste 10a, Provo, UT 84604-1509 | 2016-07-14 |
| 1750791422 | Barton Charles Robbins | Social Worker | 2230 N University Pkwy, #7e, Provo, UT 84604-1509 | 2014-05-05 |
| 1831522945 | Mcdonald Clinical Services | Community/Behavioral Health | 2230 N University Pkwy, Building 7e, Suite 4, Provo, UT 84604-1509 | 2013-08-12 |
| 1760828834 | John Ryan Blankenship | Dentist | 2230 N University Pkwy, Provo, UT 84604-1509 | 2013-05-16 |
| 1295003051 | Aaron D Paxman | Physician Assistant | 2230 N University Pkwy, 9b, Provo, UT 84604-1509 | 2011-12-08 |
| 1275818155 | Jason Gray | Physician Assistant | 2230 N University Pkwy, Ste 9b, Provo, UT 84604-1509 | 2011-10-11 |
| 1538452826 | Glasgow Chiropractic and Rehabilitation P.l.l.c | Clinic/Center | 2230 N University Pkwy, #6b, Provo, UT 84604-1509 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462120 | Dr Quinn Schiffman Dds LLC | Dentist | 1355 N University Ave Ste 320, Provo, UT 84604-2721 | 2018-10-12 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1144602970 | Tyra Neal | Dentist | 1450 W 820 N, Provo, UT 84601-1305 | 2015-06-29 |
| 1427437144 | Mountainlands Community Health Center, Inc. | Dentist | 299 E 900 S Ste 101, Provo, UT 84606-6107 | 2015-05-27 |
| 1730586355 | Juan C. Chavez, D.m.d., P.l.l.c | Dentist | 2520 N University Ave Ste 101, Provo, UT 84604-6081 | 2014-11-25 |
| 1174938294 | Michael Aaron Merkley | Dentist | 777 N 500 W # 201, Provo, UT 84601-1541 | 2014-06-26 |
| 1053613497 | Jones Dental | Dentist | 3651 N 100 E Ste 200, Provo, UT 84604-4553 | 2010-11-17 |
| 1083876205 | R. Reed Call | Dentist | 777 N 500 W Ste 202, Provo, UT 84601-1541 | 2008-06-29 |
| 1144422429 | Grandpa's Dental Inc. | Dentist | 777 North 500 West, 201b, Provo, UT 84601-1570 | 2007-05-31 |
| 1386770915 | Dean F Robinson | Dentist | 2476 N University Pky #102, Provo, UT 84604-3801 | 2007-02-26 |
| Find all providers in PROVO | ||||
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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.