ASHLEY VALLEY FAMILY DENTAL (NPI# 1184096026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184096026 |
| Entity Type | Organization |
| Organization Name | ASHLEY VALLEY FAMILY DENTAL |
| Practice Address |
606 N 1700 W Vernal UT 84078-8200 |
| Practice Telephone | 4357891748 |
| Practice Fax Number | 4357810081 |
| Mailing Telephone | 4357891748 |
| Mailing Fax Number | 4357810081 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | JEREMY BRIAN ABRAMS (DENTIST) |
| Authorized Official Telephone | 4357891748 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
6221913-9922 | UT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4920693-9922 | UT | Dental Providers |
| Street Address |
606 N 1700 W |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235505801 | James Haslam Harman | Dentist | 606 N 1700 W, Vernal, UT 84078-8200 | 2015-08-18 |
| 1245745413 | Trilby Jade Elam | Dental Hygienist | 606 N 1700 W, Vernal, UT 84078-8200 | 2017-12-09 |
| 1720287774 | Robert K Hunt | Dentist | 606 N 1700 W, Vernal, UT 84078-8200 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235505801 | James Haslam Harman | Dentist | 606 N 1700 W, Vernal, UT 84078-8200 | 2015-08-18 |
| 1922213735 | Daren L Larsen | Dentist | 1169 W Highway 40 Ste C, Vernal, UT 84078-2911 | 2007-05-14 |
| 1366656357 | Joshua Bradley Haslem | Dentist | 1169 W Highway 40, Suite # C, Vernal, UT 84078-2911 | 2007-05-09 |
| 1841338761 | Michael C. Smuin | Dentist | 317 W 100 S, Vernal, UT 84078-2517 | 2007-02-02 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| 1174699938 | Brian Ward Spendlove | Dentist | 753 W Highway 40, Vernal, UT 84078-2427 | 2006-11-25 |
| 1851472658 | R K Jolley Dds PC | Dentist | 400 West 100 North, Vernal, UT 84078 | 2006-10-18 |
| 1710136049 | Tyler Shiner | Dentist | 1169 W Highway 40 Ste C, Vernal, UT 84078-2911 | 2008-09-10 |
| 1720287774 | Robert K Hunt | Dentist | 606 N 1700 W, Vernal, UT 84078-8200 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625407 | Austin Keith Woodfield | Dentist | 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 | 2020-09-29 |
| 1750992111 | Jennifer Lin Sorge | Dentist | 532 N Mallard Dr Unit A, Vineyard, UT 84059-6606 | 2020-08-11 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1679182612 | Liberty Mountain Dental LLC | Dentist | 6351 W 13400 S Ste 100, Herriman, UT 84096-5601 | 2020-07-27 |
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1376167502 | Ashleigh Dearing | Dentist | 1652 N Blackhawk Dr, Saratoga Springs, UT 84045-5810 | 2020-06-03 |
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| 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.