UNIVERSITY OF UTAH DENTAL SERVICES (NPI# 1952794851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952794851 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Other Organization Name | UUHC SOUTH JORDAN HEALTH CENTER - ENT-DENTAL |
| Practice Address |
5126 W Daybreak Pkwy South Jordan UT 84095-5994 |
| Mailing Address |
Po Box 413033 Salt Lake City UT 84141-3033 |
| Practice Telephone | 8012134500 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | SEAN MULVIHILL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| UUHC South Jordan Health Center - ENT-Dental | 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 |
| 1821446279 | University of Utah Dental Services | Clinic/Center | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2016-05-26 |
| 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 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| Street Address |
5126 W DAYBREAK PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-5994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972641 | Brandon Lee Reynolds | Obstetrics & Gynecology | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2005-09-16 |
| 1174121503 | Diana Palandri | Pharmacist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-10-16 |
| 1396358693 | Allison Yarborough | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-08-26 |
| 1275160947 | Samuel Druce Montmorency | Emergency Medical Technician, Basic | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-03-24 |
| 1275175176 | Laura Rice Kenney | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-10-11 |
| 1205481876 | Kendall Sauter | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-09 |
| 1922653351 | Ashley Joy Jensen | Advanced Practice Midwife | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-02 |
| 1881247427 | Erik Shane Hansen | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-23 |
| 1972156693 | Deborah Elizabeth Morgan | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-22 |
| 1548822265 | David Bennion | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023336104 | Adam C Stanley | Dentist | 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7163 | 2010-05-13 |
| 1326167354 | Jared M Brown | Dentist | 11748 S 3600 W, South Jordan, UT 84095-5922 | 2007-03-29 |
| 1316442841 | Sj Oral Surgery PC | Dentist | 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7163 | 2018-03-27 |
| 1669662425 | Kyle S Christensen, Dds, PC | Dentist | 1268 W South Jordan Pkwy, Suite 200, South Jordan, UT 84095-4652 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394631 | Vineyard Oral and Maxillofacial Surgery | Dentist | 707 E Mill Rd Ste 102, Vineyard, UT 84059-5732 | 2020-10-22 |
| 1306489059 | Alpine Dentists and Specialists Pllc | Dentist | 20 W Main Street Ct Ste 100, Alpine, UT 84004-1889 | 2019-10-25 |
| 1194213074 | Lehi Oral Surgery PC | Dentist | 2961 W Maple Loop Dr Ste 130, Lehi, UT 84043-5717 | 2018-04-26 |
| 1568974434 | Utah Wisdom Teeth, LLC | Dentist | 1030 E 11400 S Ste 2a, Sandy, UT 84094-6906 | 2017-10-31 |
| 1447623830 | Great Smiles Dental Clinic LLC | Dentist | 7410 S Creek Rd, #303, Sandy, UT 84093-6140 | 2015-11-06 |
| 1679943831 | Creekside Oral & Facial Surgery Inc | Dentist | 7390 S Creek Rd, Suite 101, Sandy, UT 84093-6119 | 2015-09-30 |
| 1346629441 | Eric Wood | Dentist | 3610 N University Ave Ste 150, Provo, UT 84604-4444 | 2015-05-21 |
| 1790012243 | Southern Utah Surgical Arts | Dentist | 393 E Riverside Dr Bldg 2, Suite 2b, St George, UT 84790-7065 | 2009-11-04 |
| 1487887204 | Joseph Fullmer | Dentist | 493 S Main St # 200, Heber City, UT 84032-2240 | 2009-08-27 |
| 1407085160 | Davis Center for Oral & Maxillofacial Surgery | Dentist | 890 Heritage Park Blvd Ste 103, Layton, UT 84041-5622 | 2009-07-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.