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).
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 |
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 |
Street Address |
148 S 1100 E |
City | AMERICAN FORK |
State | UT |
Zip Code | 84003-2817 |
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 |
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 Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
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 |
City | AMERICAN FORK |
Zip Code | 84003 |
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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.