RICHARD W ELGGREN DMD INC (NPI# 1205893740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205893740 |
| Entity Type | Organization |
| Organization Name | RICHARD W ELGGREN DMD INC |
| Other Organization Name | REDWOOD ENDODONTICS |
| Practice Address |
6287 S Redwood Rd #203 Taylorsville UT 84123 |
| Practice Telephone | 8012667393 |
| Practice Fax Number | 8012660212 |
| Mailing Telephone | 8012667393 |
| Mailing Fax Number | 8012660212 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD W ELGGREN (VP TREASURER) |
| Authorized Official Telephone | 8012667393 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Redwood Endodontics | Doing Business As Name - Organization |
| Street Address |
6287 S REDWOOD RD #203 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760745251 | Intermountain Oral & Maxillofacial Surgery | Dentist | 6287 S Redwood Rd, #103, Taylorsville, UT 84123-6634 | 2012-06-19 |
| 1184937971 | Robert Hale | Dentist | 6287 S Redwood Rd, Ste 203, Taylorsville, UT 84123-6634 | 2010-07-21 |
| 1861715005 | Fresh Start Dental Center | Exclusive Provider Organization | 6287 S Redwood Rd, Taylorsville, UT 84123-6634 | 2010-03-02 |
| 1588720304 | Jason J Horgesheimer | Dentist | 6287 S Redwood Rd, Suite 201, Taylorsville, UT 84123-6634 | 2006-12-28 |
| 1083726558 | Kurt Thomas Metzler | Dentist | 6287 S Redwood Rd, Suite 101, Taylorsville, UT 84123-6634 | 2006-08-31 |
| 1952369522 | Jamie S Pogue | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-05-03 |
| 1831156371 | Richard W Elggren | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598104853 | Brandon Norman Glenn | Dentist | 2854 W 4700 S, Suite B, Taylorsville, UT 84129-2102 | 2013-06-20 |
| 1184937971 | Robert Hale | Dentist | 6287 S Redwood Rd, Ste 203, Taylorsville, UT 84123-6634 | 2010-07-21 |
| 1952369522 | Jamie S Pogue | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-05-03 |
| 1831156371 | Richard W Elggren | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1689186272 | Itooth, LLC | Dentist | 181 W Vine St Ste B, Tooele, UT 84074-2084 | 2017-11-03 |
| 1457874059 | White Pine Endodontics PC | Dentist | 169 N Gateway Dr Ste 200, Providence, UT 84332-9516 | 2017-07-25 |
| 1801248885 | Stephen Rees | Dentist | 5334 S Woodrow St Ste 201, Murray, UT 84107-5838 | 2016-07-01 |
| 1437598521 | Desert Endodontics LLC | Dentist | 1224 S River Rd Ste 2, Saint George, UT 84790-8285 | 2013-06-21 |
| 1457618423 | Brandon Charles Pitcher | Dentist | 24 S 500 W Ste D, Bountiful, UT 84010-7188 | 2012-04-16 |
| 1376845610 | Alcorn Family Dentistry | Dentist | 5455 W. 11000 No., #103, Highland, UT 84003 | 2010-11-18 |
| 1922235639 | Brad Richard Christensen | Dentist | 1149 S 450 W, Suite 105, Brigham City, UT 84302-6707 | 2009-06-20 |
| 1861637308 | Endodontic Associates | Dentist | 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 | 2008-12-12 |
| 1790948594 | Stuart G. Gibby | Dentist | 2719 North Highway 89, Suite 100, Pleasant View, UT 84404 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
Please comment or provide details below to improve the information on RICHARD W ELGGREN DMD INC.
| 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.