RUSSELL SMITH (NPI# 1962666529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962666529 |
| Entity Type | Individual |
| Full Name | RUSSELL SMITH |
| Credential | D.M.D |
| Practice Address |
6415 Business Park Loop Rd Ste J Park City UT 84098-6218 |
| Mailing Address |
114 W 550 N Centerville UT 84014-1825 |
| Practice Telephone | 8016938147 |
| Mailing Telephone | 8016938147 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5587305-9921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611767 | Russell Smith | Nurse Practitioner | 1230 Bay Dale Dr, Arnold, MD 21012-2325 | 2016-11-07 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1346594439 | Russell Alan Smith | Specialist/Technologist, Other | 1819 Jay Ell Dr # 1, Richardson, TX 75081-1837 | 2012-10-29 |
| 1912236241 | Russell Charles Smith | Dentist | 9131 Parkway East, Birmingham, AL 35206-1552 | 2009-12-16 |
| 1083840011 | Russell E Smith | Pharmacist | 533 N Main St, Troutman, NC 28166-8526 | 2009-06-04 |
| 1255547386 | Russell John Smith | Dentist | 7209 265th St Nw, Suite 201, Stanwood, WA 98292-6292 | 2007-05-15 |
| 1467595025 | Russell Lynn Smith | Specialist | 8330 E Quincy Ave Apt D212, Denver, CO 80237-2456 | 2007-02-14 |
| 1841377553 | Russell Gene Smith | Physical Therapy Assistant | 100 Healthy Way # 1110, Anderson, SC 29621-2067 | 2006-11-01 |
| 1477637817 | Russell R. Smith | Internal Medicine | 1005 Union School Rd, Gallatin, TN 37066-2084 | 2006-10-24 |
| 1811916778 | Russell Joseph Smith | Psychologist | 3478 Catclaw Dr, 112, Abilene, TX 79606-8224 | 2006-07-19 |
| Street Address |
6415 BUSINESS PARK LOOP RD STE J |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| 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 |
|---|---|---|---|---|
| 1629426234 | S Scott Kimche Dds Inc | Dentist | 2053 Sidewinder Dr, Park City, UT 84060-7323 | 2016-05-25 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1609124767 | Robert Kenny Gildner | Dentist | 355 South Greanleaf Avenue, Suite A, Park City, IL 60085-5708 | 2012-08-21 |
| 1598996373 | Milagros Galvez Dds PC | Dentist | 355 Greenleaf St Ste E, Park City, IL 60085-5708 | 2009-07-28 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| 1043478217 | Ashley G. Bailey | Dentist | 1526 Ute Blvd, Suite 212, Park City, UT 84098-7522 | 2008-05-23 |
| 1427220250 | Milagritos Edith Caghan | Dentist | 355 Greenleaf Ave Ste E, Park City, IL 60085-5708 | 2008-04-01 |
| 1629281134 | David R. Mortensen | Dentist | 355 Greenleaf Ave, Suite A, Park City, IL 60085-5708 | 2007-05-08 |
| 1346452356 | Marc B Mckee | Dentist | 1830 Prospector Ave, Park City, UT 84060-7319 | 2007-05-03 |
| 1114148509 | Pinebrook Dental Group | Dentist | 3080 Pinebrook Rd, Suite 2000, Park City, UT 84098-5422 | 2007-05-01 |
| Find all providers in PARK CITY | ||||
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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.