WHITE PINE ENDODONTICS PC (NPI# 1457874059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457874059 |
Entity Type | Organization |
Organization Name | WHITE PINE ENDODONTICS PC |
Practice Address |
169 N Gateway Dr Ste 200 Providence UT 84332-9516 |
Practice Telephone | 4357604346 |
Enumeration Date | 2017-07-25 |
Last Update Date | 2017-07-25 |
Authorized Official Name | JORDAN HANSEN (PRESIDENT) |
Authorized Official Telephone | 4357604346 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
8362186-9922 | UT | Dental Providers |
Street Address |
169 N GATEWAY DR STE 200 |
City | PROVIDENCE |
State | UT |
Zip Code | 84332-9516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
Find all providers in zip 84332 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720101959 | Gary Mark Lazaroff | Dentist | 257 Wayland Avenue, Providence, RI 02906 | 2007-04-10 |
1679634109 | Hodosh Dental Associates, Inc. | Dentist | 243 Elmwood Ave, Providence, RI 02907-1547 | 2006-12-12 |
1518906965 | East Side Endodontics | Dentist | 130 Waterman St, Providence, RI 02906-2010 | 2006-06-04 |
1316086218 | Janet S Tanzi | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-06 |
1245378744 | Douglas B Kraut | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-05 |
1730227224 | Edwin Stephen Mehlman | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1689186272 | Itooth, LLC | Dentist | 181 W Vine St Ste B, Tooele, UT 84074-2084 | 2017-11-03 |
1801248885 | Stephen Rees | Dentist | 5334 S Woodrow St Ste 201, Murray, UT 84107-5838 | 2016-07-01 |
1437598521 | Desert Endodontics LLC | Dentist | 1224 S River Rd Ste 2, Saint George, UT 84790-8285 | 2013-06-21 |
1457618423 | Brandon Charles Pitcher | Dentist | 24 S 500 W Ste D, Bountiful, UT 84010-7188 | 2012-04-16 |
1376845610 | Alcorn Family Dentistry | Dentist | 5455 W. 11000 No., #103, Highland, UT 84003 | 2010-11-18 |
1922235639 | Brad Richard Christensen | Dentist | 1149 S 450 W, Suite 105, Brigham City, UT 84302-6707 | 2009-06-20 |
1861637308 | Endodontic Associates | Dentist | 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 | 2008-12-12 |
1790948594 | Stuart G. Gibby | Dentist | 2719 North Highway 89, Suite 100, Pleasant View, UT 84404 | 2008-07-02 |
1881861516 | Daniel Scott Burr | Dentist | 321 E 300 N Ste B, American Fork, UT 84003-1790 | 2008-05-12 |
Find all providers with the same taxonomy |
City | PROVIDENCE |
Zip Code | 84332 |
Please comment or provide details below to improve the information on WHITE PINE ENDODONTICS PC.
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.