GREAT SMILES DENTAL CLINIC LLC (NPI# 1447623830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447623830 |
| Entity Type | Organization |
| Organization Name | GREAT SMILES DENTAL CLINIC LLC |
| Practice Address |
7410 S Creek Rd #303 Sandy UT 84093-6140 |
| Mailing Address |
333 E Main St #351 Lehi UT 84043-4200 |
| Practice Telephone | 8016424080 |
| Mailing Telephone | 8016424080 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Authorized Official Name | MR. JOSHUA RODRIGGS (GMP) |
| Authorized Official Telephone | 3853551434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
135181 | UT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9030705 | UT | Dental Providers |
| Street Address |
7410 S CREEK RD #303 |
| City | SANDY |
| State | UT |
| Zip Code | 84093-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
| 1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
| 1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
| 1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
| 1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
| 1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in zip 84093 | ||||
| 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 |
|---|---|---|---|---|
| 1255981254 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 1, Sandy, UT 84070-2580 | 2019-09-12 |
| 1720649098 | Sandy Modern Dentistry, LLP | Dentist | 65 E 10600 S Ste 104, Sandy, UT 84070-4124 | 2019-06-26 |
| 1871159681 | Chase Alan Benson | Dentist | 1030 E 11400 S Ste 2, Sandy, UT 84094-6906 | 2019-05-16 |
| 1578903670 | Jaron Traveller | Dentist | 7430 S Creek Rd, Suite 101, Sandy, UT 84093-6158 | 2013-07-03 |
| 1972818193 | Richard A Hadlock | Dentist | 2127 Lorita Way, Sandy, UT 84093-6419 | 2010-08-12 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1285819771 | Willow Creek Dental | Dentist | 8757 Highland Dr, Sandy, UT 84093-1698 | 2008-01-03 |
| 1861685752 | Stephen Johansen | Dentist | 7370 Creek Rd Ste 202, Sandy, UT 84093-6113 | 2007-08-23 |
| 1487855961 | Gary K. Clark | Dentist | 9730 S 700 E Ste 106, Sandy, UT 84070-4503 | 2007-05-30 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| Find all providers in SANDY | ||||
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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.