ACCESS PROFESSIONAL DENTAL CARE,LLC (NPI# 1326467168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326467168 |
| Entity Type | Organization |
| Organization Name | ACCESS PROFESSIONAL DENTAL CARE,LLC |
| Other Organization Name | BLUE HILLS DENTAL |
| Practice Address |
4115 Riverdale Rd Ste B Riverdale UT 84405-3509 |
| Mailing Address |
8890 Cal Center Dr Sacramento CA 95826-3200 |
| Practice Telephone | 8019405555 |
| Practice Fax Number | 3852068383 |
| Mailing Telephone | 9169225000 |
| Mailing Fax Number | 9166469000 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-09-10 |
| Authorized Official Name | MS. LORRI DETRICK (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9165636002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
UT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Blue Hills Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437353 | Access Professional Dental Care,llc | Dentist | 6540 S State St, Murray, UT 84107-7219 | 2014-08-14 |
| 1053734384 | Access Professional Dental Care,llc | Dentist | 4577 S 4000 W, West Valley, UT 84120-6222 | 2014-01-22 |
| Street Address |
4115 RIVERDALE RD STE B |
| City | RIVERDALE |
| State | UT |
| Zip Code | 84405-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720095631 | Mark Henry Habermeyer | Dentist | 4115 Riverdale Rd Ste B, Riverdale, UT 84405-3509 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1508134842 | Sookie Hwang | Dentist | 51 State Rt 23 Ste 1, Riverdale, NJ 07457-1625 | 2011-12-01 |
| 1093012205 | Maranatha Weir Group | Dentist | 5711 Sarvis Ave Ste 502, Riverdale, MD 20737-1366 | 2011-02-24 |
| 1295908614 | Daniel Redie General Dentistry | Dentist | 1849 Highway 138 Sw, Riverdale, GA 30296-1812 | 2008-04-07 |
| 1588871115 | Terry L Mcculloch | Dentist | 7557 Hwy 85, Riverdale, GA 30274 | 2007-05-16 |
| 1174744148 | Peter Louis Calomeris | Dentist | 6201 Baltimore Ave, Riverdale, MD 20737-1020 | 2007-05-01 |
| 1134251648 | Smiles Dental Lab, Inc. | Dentist | 6030 Highway 85 Ste 240, Riverdale, GA 30274-1535 | 2007-03-10 |
| 1104968304 | Ivanhoe Dental Group, Ltd. | Dentist | 61 W 144th St, Riverdale, IL 60827-2850 | 2007-02-13 |
| 1457491771 | Donald C. Bogert Jr. | Dentist | 27 Newark Pompton Tpke, Riverdale, NJ 07457-1143 | 2007-02-07 |
| 1396820775 | Fredrico Albert Dixon IIi | Dentist | 7218 Highway 85, Riverdale, GA 30274-2908 | 2006-10-26 |
| Find all providers in RIVERDALE | ||||
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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.