HEATHER ANNE CROUCH (NPI# 1063419125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063419125 |
| Entity Type | Individual |
| Full Name | HEATHER ANNE CROUCH |
| Credential | DDS |
| Practice Address |
1365 W 1000 N Slc UT 84116-1654 |
| Mailing Address |
1798 S West Temple Slc UT 84115-1874 |
| Practice Telephone | 8013285756 |
| Practice Fax Number | 8015217463 |
| Mailing Telephone | 8014126933 |
| Mailing Fax Number | 8014126950 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5607872-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730689647 | Heather Crouch | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2018-02-16 |
| Street Address |
1365 W 1000 N |
| City | SLC |
| State | UT |
| Zip Code | 84116-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447112 | Community Health Centers Inc. | Clinic/Center | 1365 W 1000 N, Slc, UT 84116-1654 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1588113583 | Alicia Dalton | Community Health Worker | 1357 N Redwood Rd Apt 19, Salt Lake City, UT 84116-1449 | 2016-10-02 |
| Find all providers in zip 84116 | ||||
| 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 |
|---|---|---|---|---|
| 1851555650 | Jared Maughan Weaver | Dentist | 2011 S 1300 E, Slc, UT 84105-3613 | 2008-07-11 |
| 1689705782 | Richard Dale Martinez | Dentist | 2936 Highland Dr Ste 101, Slc, UT 84106-3583 | 2007-03-08 |
| 1750444949 | Daniel W Ormsby | Dentist | 4578 So Highland Dr #350, Slc, UT 84117 | 2006-12-18 |
| 1932260528 | Todd S Suekawa | Dentist | 2178 S 900 E Suite 5, Slc, UT 84106-2388 | 2006-12-13 |
| 1376797944 | Travis Alan Hickok | Dentist | 50 N Medical Dr, Slc, UT 84132-0001 | 2008-11-10 |
| 1568469617 | Adon Emery Crook | Dentist | 461 S 400 E, Slc, UT 84111-3302 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1689282089 | Nathan Elmer Kobold | Dentist | 188 E 2050 S Apt B4, Bountiful, UT 84010-5456 | 2020-07-21 |
| 1205454113 | Dylan Lane Harmon | Dentist | 1445 N 400 E # 3a, North Logan, UT 84341-7564 | 2020-07-07 |
| 1902420318 | Cory Johnson | Dentist | 170 E Commonwealth Ave, South Salt Lake, UT 84115-2712 | 2020-06-01 |
| 1538783196 | Trevor Garrett | Dentist | 182 Ashe Dr, Brigham City, UT 84302-2788 | 2020-05-29 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1770135923 | Mcconnell Dental Care IIi | Dentist | 263 Country Clb Ste 102, Stansbury Park, UT 84074-9602 | 2019-07-09 |
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
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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.