WASATCH ADVANCED DENTAL CARE LLC (NPI# 1023670569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023670569 |
| Entity Type | Organization |
| Organization Name | WASATCH ADVANCED DENTAL CARE LLC |
| Practice Address |
3590 Harrison Blvd Suite #1 Ogden UT 84403 |
| Practice Telephone | 8016214800 |
| Practice Fax Number | 8013409561 |
| Mailing Telephone | 8016214800 |
| Mailing Fax Number | 8013409561 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | MR. AARON T. WARD (DENTIST) |
| Authorized Official Telephone | 8016214800 |
| Authorized Official Credential | DMD MS PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
3590 HARRISON BLVD SUITE #1 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| 1871940361 | Mar Sager Creixell | Pharmacist | 4421 Harrison Blvd Suite A-12, Ogden, UT 84403 | 2016-05-16 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811024011 | Daniel Kim Cassity | Dentist | 5331 S Adams Ave, Ste A, Ogden, UT 84405-4753 | 2007-02-27 |
| 1639388697 | Kent W. Gragg | Dentist | 237 West Mulberry, Ogden, IA 50212-0813 | 2007-05-22 |
| 1548330004 | Robert Wade Ferrell | Dentist | 1508 E Skyline Dr, Suite #300, Ogden, UT 84405-4846 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1225673429 | Mountain View Dental Pdc Pllc | Dentist | 6783 S Redwood Rd #201, South Jordan, UT 84084-5743 | 2019-11-12 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1649837337 | North Logan Pdc Pllc | Dentist | 1445 N 400 E Ste 3a, Logan, UT 84341-7564 | 2019-05-29 |
| 1154701993 | Robert David Swenson | Dentist | 3397 N 1200 E Ste 111, Lehi, UT 84043 | 2015-06-07 |
| 1710385000 | C & F Implants LLC | Dentist | 347 N 300 W, Suite 201, Kaysville, UT 84037-1828 | 2014-12-18 |
| 1548668353 | C & F Implants LLC | Dentist | 5331 Adams Ave Pkwy Ste A, South Ogden, UT 84405-4755 | 2014-12-10 |
| 1457797185 | Rachana Ashok Hegde | Dentist | 10920 S River Front Parkway, College of Dental Medicine Roseman University of Health, South Jordan, UT 84095 | 2013-05-21 |
| 1265788210 | Mitchell Miles Gubler | Dentist | 368 E Riverside Dr Ste 7, St George, UT 84790-7278 | 2012-07-27 |
| 1881982585 | Lloyd V Tilt | Dentist | 1316 Harvard Ave, Salt Lake City, UT 84105-1916 | 2011-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WASATCH ADVANCED DENTAL CARE LLC.
| 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.