UNIVERSITY OF UTAH DENTAL SERVICES (NPI# 1194119685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194119685 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Other Organization Name | UNIV. OF UTAH HOSPITAL OTOLARYNGOLOGY-DENTAL |
| Practice Address |
50 N Medical Dr Salt Lake City UT 84132-0100 |
| Mailing Address |
Po Box 413033 Po Salt Lake City UT 84141-3033 |
| Practice Telephone | 8015812121 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | SEAN MULVIHILL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH DENTAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Univ. of Utah Hospital Otolaryngology-Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609631 | University of Utah Dental Services | Clinic/Center | 50 N Medical Dr, Clinic 7, Salt Lake City, UT 84132-0001 | 2016-06-08 |
| 1821446279 | University of Utah Dental Services | Clinic/Center | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2016-05-26 |
| 1043668379 | University of Utah Dental Services | Clinic/Center | 7495 S State St, Midvale, UT 84047-2013 | 2016-05-26 |
| 1184018673 | University of Utah Dental Services | Dentist | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
| 1952794851 | University of Utah Dental Services | Dentist | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2015-03-17 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| Street Address |
50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1073114864 | Stephanie Bevill | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-06 |
| 1609477801 | Justin Larson | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-04 |
| 1366042467 | Kirsty Aleah Vannoy | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-28 |
| 1629675673 | Erica Kueneman | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-02 |
| 1487266680 | Michelle A Barker | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1770195943 | Lisa M Schaeffer | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1194336289 | Michelle Rios | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1932710027 | Tanner Ladsten | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1578174660 | Rachel Sette | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932367976 | Lucy Barr Md PC Dba Barr Aesthetics | Otolaryngology | 24 South 1100 East Ste 102, Salt Lake City, UT 84102 | 2008-05-27 |
| 1114378023 | Ward Md LLC | Otolaryngology | 6322 S 3000 E, Suite 170, Salt Lake City, UT 84121-6922 | 2016-06-22 |
| 1932307188 | Lucy Jane Barr | Otolaryngology | 82 S 1100 E, Suite 200, Salt Lake City, UT 84102-1686 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467751008 | Amir Allak | Otolaryngology | 3584 W 9000 S Ste 311, West Jordan, UT 84088-4775 | 2011-03-22 |
| 1487198321 | Utah Plastic Surgery LLC | Otolaryngology | 2255 N 1700 W, #205, Layton, UT 84041-1119 | 2016-12-12 |
| 1093024689 | Utah Head and Neck Surgery | Otolaryngology | 945 W Hospital Dr Ste 1, Price, UT 84501-4230 | 2010-09-29 |
| 1265522874 | Steven Ross Mobley | Otolaryngology | 5292 S College Dr, Suite 303, Murray, UT 84123-2958 | 2006-10-13 |
| 1881702355 | Kent Eric Gardner | Otolaryngology | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2006-08-26 |
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.