DR. GEOFFRY GENE DE GENNARO (NPI# 1275760522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275760522 |
| Entity Type | Individual |
| Full Name | DR. GEOFFRY GENE DE GENNARO |
| Credential | D.D.S. |
| Practice Address |
420 E South Temple Suite 220 Salt Lake City UT 84111-1319 |
| Practice Telephone | 8015215700 |
| Mailing Telephone | 8015215700 |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2009-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 263304-9921 | UT | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
263304-9921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554740 | Geoffry De Gennaro Jr. | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2014-06-24 |
| Street Address |
420 E SOUTH TEMPLE SUITE 220 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477524411 | Mark A Naisbitt | Dentist | 420 E South Temple, #312 - Monarch Dental Administration Office, Salt Lake City, UT 84111-1319 | 2006-01-29 |
| 1649771775 | Charles Cornish | Case Manager/Care Coordinator | 420 E South Temple, Suite 420, Salt Lake City, UT 84111 | 2018-02-23 |
| 1780184150 | Danny Russell Spaulding | Counselor | 420 E South Temple, Salt Lake City, UT 84111-1319 | 2018-02-12 |
| 1578967642 | Salt Lake Marital & Family Therapy Clinic | Social Worker | 420 E South Temple, Suite 300, Salt Lake City, UT 84111-1319 | 2014-10-17 |
| 1568881852 | I Smile Dental Designs | Dentist | 420 E South Temple, Suite # 410, Salt Lake City, UT 84111-1319 | 2014-04-15 |
| 1912066424 | Modern Dental Professionals Utah PC | Dentist | 420 E South Temple, Suite 312, Salt Lake City, UT 84111-1319 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1710450655 | Kelly D. Carroll D.d.s., PC | Dentist | 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142 | 2019-01-03 |
| 1730667031 | Hm Salt Lake | Dentist | 7138 S Highland Dr Ste 214, Salt Lake City, UT 84121-3783 | 2018-07-30 |
| 1316430721 | Kyle Perkins | Dentist | 268 W 400 S, Salt Lake City, UT 84101-1831 | 2018-06-11 |
| 1730634353 | Kyle J Baldwin | Dentist | 4046 S Highland Dr, Ste #113, Salt Lake City, UT 84124-1673 | 2016-08-24 |
| 1780047670 | Dane Parke Mullinax | Dentist | 831 S 700 E, Salt Lake City, UT 84102-3505 | 2016-03-30 |
| 1396105425 | Michael Lee Vanleeuwen | Dentist | 6936 S Promenade Dr Ste 201, Salt Lake City, UT 84121-3365 | 2016-03-02 |
| 1831555168 | Smile Dental Studio PC | Dentist | 1400 S Foothill Dr, Ste #36, Salt Lake City, UT 84108-2392 | 2015-12-31 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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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.