DR. IDA NOURBAKHSH


Address: 1947 E Redondo Ave, Salt Lake City, UT 84108-3119
Phone: 8016411537

DR. IDA NOURBAKHSH (NPI# 1295335404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295335404
Entity Type Individual
Full Name DR. IDA NOURBAKHSH
Credential DDS
Practice Address 1947 E Redondo Ave
Salt Lake City
UT 84108-3119
Practice Telephone 8016411537
Mailing Telephone 8016411537
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 11890735-8903 UT Dental Providers

Office Location

Street Address 1947 E REDONDO AVE
City SALT LAKE CITY
State UT
Zip Code 84108-3119

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1568855377 Herald Ruth Clark Dentist 3643 S Highland Dr, Salt Lake City, UT 84106-3212 2015-03-18
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84108

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Dataset Information

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.

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