DR. DAVID PAUL KOELLIKER (NPI# 1245243542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245243542 |
| Entity Type | Individual |
| Full Name | DR. DAVID PAUL KOELLIKER |
| Other Name | DR. DAVID P. KOELLIKER |
| Credential | D.D.S. |
| Practice Address |
1953 E 5600 S Salt Lake City UT 84121-1351 |
| Mailing Address |
1953 East 5600 South Salt Lake City UT 84121 |
| Practice Telephone | 8012789505 |
| Practice Fax Number | 8012720579 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
341472 | UT | Dental Providers |
| Street Address |
1953 E 5600 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1861637308 | Endodontic Associates | Dentist | 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 | 2008-12-12 |
| 1598806648 | Craig C Smith | Dentist | 5373 S Green St, 4th Floor, Salt Lake City, UT 84123-4680 | 2007-02-10 |
| 1689733677 | John Mitchell Coats | Dentist | 7138 S Highland Dr, #109, Salt Lake City, UT 84121 | 2006-12-06 |
| 1124111323 | Mitchell G Rudd | Dentist | 1955 S 1300 E Ste 6, Salt Lake City, UT 84105-3684 | 2006-10-02 |
| 1215390885 | Sadler Endodontics Pllc | Dentist | 6364 S Highland Dr, #200, Salt Lake City, UT 84121-2117 | 2016-04-01 |
| 1861860173 | Utah Dental United | Dentist | 445 E 4500 S Ste 150, Salt Lake City, UT 84107-3101 | 2015-09-03 |
| 1316258346 | Laura L Milroy | Dentist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2010-06-24 |
| 1568612133 | Salt Lake Endodontics | Dentist | 1955 S 1300 E Ste 6, Salt Lake City, UT 84105-3684 | 2008-09-19 |
| 1629226774 | Jeffrey B Kochevar | Dentist | 4970 S 900 E, Ste. E, Salt Lake City, UT 84117-5776 | 2008-09-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.