CHISHOLM FAMILY DENTISTRY INC (NPI# 1255499083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255499083 |
| Entity Type | Organization |
| Organization Name | CHISHOLM FAMILY DENTISTRY INC |
| Other Organization Name | RICHARD T CHILSHOLM DDS |
| Practice Address |
30 S Main St Monroe UT 84754 |
| Mailing Address |
Po Box 69 30 S Main St Monroe UT 84754 |
| Practice Telephone | 4355273555 |
| Practice Fax Number | 4355273618 |
| Mailing Telephone | 4355273555 |
| Mailing Fax Number | 4355273618 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD T CHILSHOLM (DENTIST OWNER) |
| Authorized Official Telephone | 4355273555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3241439921 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528376111001 | 05 |
| Other Name | Type Code |
|---|---|
| Richard T Chilsholm DDS | Former Legal Business Name - Organization |
| Street Address |
30 S MAIN ST |
| City | MONROE |
| State | UT |
| Zip Code | 84754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396079471 | Richard T. Chisholm | Dentist | 30 S Main St, Monroe, UT 84754 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316118284 | Wayne R Chisholm | Dentist | 30 South Main Street, Monroe, UT 84754 | 2008-03-18 |
| 1144506981 | Anthyony Sponaugle | Counselor | 8510 South Ten Mile Road, Monroe, UT 84754-0040 | 2011-10-25 |
| 1134637903 | Ammon Millet | Pharmacist | 515 N Main St, Monroe, UT 84754-3115 | 2018-01-16 |
| 1932527124 | Aspen Ridge Pharmacy LLC | Pharmacy | 515 N Main St, Monroe, UT 84754-3115 | 2014-04-03 |
| 1386728749 | Storm Ridge Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 95 W 3000 N, Monroe, UT 84754-3270 | 2006-10-24 |
| 1437433356 | Brian Wood | Counselor | 95 W 3000 N, Monroe, UT 84754-3270 | 2011-10-11 |
| 1619250677 | Paul Jenkins | Counselor | 95 W 3000 N, Monroe, UT 84754-3270 | 2011-09-26 |
| 1245545128 | Steve Rosenzweig | Counselor | 95 W 3000 N, Monroe, UT 84754-3270 | 2010-08-16 |
| 1750696738 | Janet Stewart | Counselor | 95 W 3000 N, Monroe, UT 84754-3270 | 2010-08-13 |
| 1346555323 | Trina Swalberg | Counselor | 95 W 3000 N, Monroe, UT 84754-3270 | 2010-08-13 |
| Find all providers in zip 84754 | ||||
| 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 |
|---|---|---|---|---|
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1487143616 | S. Gibree, D.m.d., P.C. | Dentist | 5120 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2018-05-03 |
| 1689162372 | Amara Dental of Monroe, P.a. | Dentist | 211 Applegarth Road, Suite 109, Monroe, NJ 08831 | 2018-04-27 |
| 1942715917 | Monroe Dental Group LLC | Dentist | 1401 N 18th St Ste E, Monroe, LA 71201-4972 | 2017-12-12 |
| 1659884104 | Orange County Dental, P.C. | Dentist | 1 Prag Blvd Unit 111, Monroe, NY 10950-8448 | 2017-11-07 |
| 1487184677 | Daniel Conrid Sharbono | Dentist | 2406 Duval Dr, Monroe, LA 71201 | 2017-06-19 |
| 1730619917 | Leigh Ann Robinson | Dentist | 1507 Lamy Ln Ste A, Monroe, LA 71201-3778 | 2017-06-19 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1326300625 | Dung V Tran | Dentist | 1307 E Franklin St, Suite C, Monroe, NC 28112-5196 | 2012-06-12 |
| Find all providers in MONROE | ||||
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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.