DR. EDMUND WARREN GUBLER JR. (NPI# 1053930289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053930289 |
| Entity Type | Individual |
| Full Name | DR. EDMUND WARREN GUBLER JR. |
| Credential | DMD |
| Practice Address |
10894 S River Front Pkwy South Jordan UT 84095-5609 |
| Practice Telephone | 8018781200 |
| Mailing Telephone | 8018781200 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10894 S RIVER FRONT PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021900 | William Brent Carroll | Dentist | 10894 S River Front Pkwy, South Jordan, UT 84095 | 2005-08-26 |
| 1770111692 | Tyson Bishop | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-27 |
| 1265066971 | Weston Vern Frandsen | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-03 |
| 1871159665 | Priscila Fabiana Petry Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-05-16 |
| 1972063386 | Rebecca Lynn Spearman | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-03-21 |
| 1811419369 | Pablo De Oliveira Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2017-07-15 |
| 1417363821 | Roseman University of Health Sciences, A Nevada Non-profit Corp | Dentist | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2014-07-07 |
| 1659542215 | Benjamin Earl Wall | Dentist | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2008-03-21 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184249385 | Marla Morillo | Student in an Organized Health Care Education/Training Program | 3861 W Sage Rim Cv, South Jordan, UT 84009-8723 | 2020-06-12 |
| 1225425325 | Natalee Garcia | Student in an Organized Health Care Education/Training Program | 4499 W Knox Dr, South Jordan, UT 84095-7114 | 2015-04-16 |
| 1669774725 | Daniel Jacob Seiser | Student in an Organized Health Care Education/Training Program | 10920 South River Front Parkway, South Jordan, UT 84095 | 2010-11-23 |
| 1114544269 | Ahmad Majed Al Ashi | Student in an Organized Health Care Education/Training Program | 10920 S River Front Pkwy, South Jordan, UT 84095-3538 | 2020-07-05 |
| 1770111692 | Tyson Bishop | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-27 |
| 1265066971 | Weston Vern Frandsen | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-03 |
| 1871159665 | Priscila Fabiana Petry Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-05-16 |
| 1972063386 | Rebecca Lynn Spearman | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-03-21 |
| 1285193581 | Andrea Josephine Chaveleh | Student in an Organized Health Care Education/Training Program | 10920 S River Front Pkwy, South Jordan, UT 84095-3538 | 2019-03-16 |
| 1811419369 | Pablo De Oliveira Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2017-07-15 |
| Find all providers in SOUTH JORDAN | ||||
| 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.