DR. CHAD JORDAN GOLLAHER


Address: 148 S 1100 E, American Fork, UT 84003-2817
Phone: 8017566048

DR. CHAD JORDAN GOLLAHER (NPI# 1356795769) 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) 1356795769
Entity Type Individual
Full Name DR. CHAD JORDAN GOLLAHER
Credential DMD
Practice Address 148 S 1100 E
American Fork
UT 84003-2817
Mailing Address 79 W Alexandrine St
Detroit
MI 48201-2015
Practice Telephone 8017566048
Mailing Telephone 8014739055
Enumeration Date 2016-04-21
Last Update Date 2018-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
10789138-9923 UT Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 148 S 1100 E
City AMERICAN FORK
State UT
Zip Code 84003-2817

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790943629 David M Macdonald Dentist 148 S 1100 E, American Fork, UT 84003-2817 2008-05-28
1316234032 Smith and Macdonald Pediatric Dentistry Dentist 148 S 1100 E, American Fork, UT 84003-2817 2011-07-01
1972825685 Smith Pediatric Dentistry Dentist 148 S 1100 E, American Fork, UT 84003-2817 2010-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851917496 Centre Health Group Clinic/Center 70 West Main, Suite B, American Fork, UT 84003 2020-06-19
1457902553 Lactation Link Health Educator 5524 Sicily Lane, Highland, UT 84003 2019-09-20
1750805511 Eric Austin Haws Physical Therapist 1184 East 80 North, American Fork, UT 84003 2017-08-02
1578914784 Ofa Moeai Social Worker 315 N 900 E, American Fork, UT 84003 2016-06-29
1639585839 Carmel Ferreira Acupuncturist 42 N 200 E Ste 1, American Fork, UT 84003 2014-07-08
1619305869 Luke Daren Sterger Counselor 995 West 1100 North, American Fork, UT 84003 2013-10-25
1356778252 Reese & Weaver Dds LLC Optometrist 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 2013-10-09
1518308444 A Balanced Life Med Products Durable Medical Equipment & Medical Supplies 291 N 300 E Ste. C, American Fork, UT 84003 2013-07-08
1376981274 Jesse Lucinda James Family Medicine 98 B. 1100 E. Suite #102, American Fork, UT 84003 2013-06-13
1922442904 Premier Family Medical Family Medicine 226 N 100 E, Ste A, American Fork, UT 84003 2013-04-22
Find all providers in zip 84003

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790943629 David M Macdonald Dentist 148 S 1100 E, American Fork, UT 84003-2817 2008-05-28
1396932224 Scott A Jensen Dentist 25 N 1100 E, American Fork, UT 84003 2007-09-25
1225184625 Timpanogas Pediatric Dentistry Dentist 25 North 1100 East, American Fork, UT 84003 2007-01-26
1811918329 Nathan England Smith Dentist 148 South 1100 East, American Fork, UT 84003 2006-07-21
1316234032 Smith and Macdonald Pediatric Dentistry Dentist 148 S 1100 E, American Fork, UT 84003-2817 2011-07-01
1972825685 Smith Pediatric Dentistry Dentist 148 S 1100 E, American Fork, UT 84003-2817 2010-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841891462 South Davis Pediatric Dentistry LLC Dentist 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 2020-11-02
1376176198 Happy Tooth Pediatric Dentistry, LLC Dentist 2453 E 3300 S, Millcreek, UT 84109-2725 2020-02-20
1750932273 Michael R. Brown Dds Ms Dentist 1240 E 100 S Ste 120, St George, UT 84790-3079 2019-09-25
1609438357 Children's Landing Pediatric Dentistry, PC Dentist 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 2019-07-02
1841766821 Dry Creek Pediatric Dentistry Dentist 3300 N Running Creek Way F101, Lehi, UT 84043 2018-10-17
1639654684 Clubhouse Pediatric Dentistry of West Jordan Dentist 1108 E South Union Ave, Midvale, UT 84047-2904 2018-09-26
1639667801 St. George Kids Dental At Snow Canyon Dentist 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 2018-04-24
1376044313 Slpd Cottonwood LLC Dentist 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 2018-02-26
1013420553 Kevin Brown Dmd, LLC Dentist 1030 S 1100 W, Suite B, Lehi, UT 84043 2017-11-07
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
Find all providers with the same taxonomy

Competitor

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City AMERICAN FORK
Zip Code 84003

Improve Information

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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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