MODERN DENTAL PROFESSIONALS - UTAH, PC (NPI# 1457758427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457758427 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS - UTAH, PC |
| Other Organization Name | MONARCH DENTAL - OREM |
| Practice Address |
575 E University Pkwy Ste A24 Orem UT 84097-7608 |
| Practice Telephone | 8012253300 |
| Mailing Telephone | 8012253300 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. ROBERT CHIDESTER (PRESIDENT) |
| Authorized Official Telephone | 7144282000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Monarch Dental - Orem | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| 1598162141 | Modern Dental Professionals - Utah, PC | Dentist | 24 South 500 West, #d, Bountiful, UT 84010 | 2014-11-25 |
| 1740687706 | Modern Dental Professionals - Utah, PC | Dentist | 476 N 900 W Ste A, American Fork, UT 84003-5200 | 2014-11-19 |
| 1437556404 | Modern Dental Professionals - Utah, PC | Dentist | 5419 S Redwood Rd Ste 2, Taylorsville, UT 84123-6957 | 2014-11-19 |
| 1720485709 | Modern Dental Professionals - Utah, PC | Dentist | 4645 S 4000 W Ste B, West Valley, UT 84120-6250 | 2014-11-19 |
| Street Address |
575 E UNIVERSITY PKWY STE A24 |
| City | OREM |
| State | UT |
| Zip Code | 84097-7608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921389 | Tyler A Duffy | Dentist | 1997 Skyline Dr, Orem, UT 84097-2386 | 2018-08-09 |
| 1033594700 | Nathan Graves | Dentist | 949 N 940 W, Orem, UT 84057-7704 | 2015-07-23 |
| 1184036410 | Michael Maughan | Dentist | 377 W 1410 S, Orem, UT 84058-7373 | 2014-05-21 |
| 1407270184 | Half Dental, Orem | Dentist | 29 W. University Parkway, Orem, UT 84058 | 2014-02-14 |
| 1073894523 | James Skousen | Dentist | 735 S 500 E, Orem, UT 84097-6361 | 2011-08-29 |
| 1023339264 | Mark Thomas Barry | Dentist | 1943 N State St, Orem, UT 84057-2028 | 2010-06-22 |
| 1386972974 | Robert L Fuller | Dentist | 761 S 1030 E, Orem, UT 84097-6688 | 2009-11-20 |
| 1982839676 | Justin Broadbent | Dentist | 1344 S 800 E Ste 220, Orem, UT 84097-5503 | 2009-05-25 |
| 1790923837 | Ross Alan Cheesman | Dentist | 826 S 325 W, Orem, UT 84058-6785 | 2009-01-28 |
| 1770768251 | Judd Boehme | Dentist | 484 W 800 N, Suite 202, Orem, UT 84057-3728 | 2008-01-03 |
| Find all providers in OREM | ||||
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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.