WHITE PINE ENDODONTICS PC


Address: 169 N Gateway Dr Ste 200, Providence, UT 84332-9516
Phone: 4357604346

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
8362186-9922 UT Dental Providers

Office Location

Street Address 169 N GATEWAY DR STE 200
City PROVIDENCE
State UT
Zip Code 84332-9516

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PROVIDENCE
Zip Code 84332

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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