NEXUS DENTAL GROUP PLLC (NPI# 1013416742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013416742 |
| Entity Type | Organization |
| Organization Name | NEXUS DENTAL GROUP PLLC |
| Other Organization Name | PARLEYS CREEK DENTAL |
| Practice Address |
2725 E Parleys Way Salt Lake City UT 84109-1667 |
| Mailing Address |
2725 E Parleys Way Ste 150 Salt Lake City UT 84109-1659 |
| Practice Telephone | 8018082061 |
| Mailing Telephone | 8018082061 |
| Mailing Fax Number | 8018082061 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | CLINTON SORENSEN (DENTIST/OWNER) |
| Authorized Official Telephone | 8018082061 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
80174279922 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Parleys Creek Dental | Doing Business As Name - Organization |
| Street Address |
2725 E PARLEYS WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730581919 | Triple Crown Dental Pllc | Clinic/Center | 2725 E Parleys Way, Suite 150, Salt Lake City, UT 84109-1667 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1013367036 | City Creek Dental, Pllc | Clinic/Center | 175 S West Temple Ste 100, Salt Lake City, UT 84101-1443 | 2016-06-21 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1871972687 | Richard A. Parkin, Dds, PC | Clinic/Center | 4046 S Highland Dr Ste 113, Salt Lake City, UT 84124-1689 | 2015-05-26 |
| 1730581919 | Triple Crown Dental Pllc | Clinic/Center | 2725 E Parleys Way, Suite 150, Salt Lake City, UT 84109-1667 | 2014-09-19 |
| 1053732958 | Cottonwood Pediatric Dentistry | Clinic/Center | 7050 S Highland Dr, Suite #110, Salt Lake City, UT 84121-3749 | 2013-12-18 |
| 1851538862 | Salt Lake Donated Dental Services | Clinic/Center | 1383 S 900 W, Suite 128, Salt Lake City, UT 84104-1603 | 2009-01-13 |
| 1831346527 | Van Leeuwen Dental, LLC | Clinic/Center | 6936 Promenade Dr, #201, Salt Lake City, UT 84121-3391 | 2008-08-25 |
| 1184245474 | Nic - Salt Lake City, Pllc | Clinic/Center | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-28 |
| 1285194738 | Bender Dental LLC | Clinic/Center | 1345 E Fort Union Blvd, Salt Lake City, UT 84121-2859 | 2019-03-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
Please comment or provide details below to improve the information on NEXUS DENTAL GROUP PLLC.
| 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.