MICHAEL A GLADWELL (NPI# 1639250673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639250673 |
| Entity Type | Individual |
| Full Name | MICHAEL A GLADWELL |
| Credential | D.M.D., MD |
| Practice Address |
3920 S 1100 E Suite 150 Salt Lake City UT 84124-1213 |
| Practice Telephone | 8012627447 |
| Mailing Telephone | 8012627447 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 347697-9924 | UT | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 347697-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | 54113 | MN | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | D12291 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 935190000 | 05 | |
| MN | ENROLLED | 05 | |
| WI | 33828100 | 05 |
| Street Address |
3920 S 1100 E SUITE 150 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153234 | Leonard J Swinyer | Specialist | 3920 S 1100 E, Suite 310, Salt Lake City, UT 84124-1213 | 2005-09-08 |
| 1497164180 | Gitanjali Sharma | Nurse Practitioner | 3920 S 1100 E, Ste 250, Salt Lake City, UT 84124-1213 | 2014-08-06 |
| 1184980005 | Oral & Facial Reconstructive Surgeons of Utah, LLC | Dentist | 3920 S 1100 E, Suite 150, Salt Lake City, UT 84124-1213 | 2012-04-04 |
| 1598087603 | Karl E. Lind Dds, Inc | Dentist | 3920 S 1100 E, Ste 150, Salt Lake City, UT 84124-1213 | 2010-02-17 |
| 1366687865 | Creekside Home Health, LLC | Home Health | 3920 S 1100 E, 250, Salt Lake City, UT 84124-1213 | 2008-12-11 |
| 1306058052 | Scott R. Stein Dds, LLC | Dentist | 3920 S 1100 E, 370, Salt Lake City, UT 84124 | 2007-05-04 |
| 1982740361 | Elizabeth E Auger Dpm PC | Podiatrist | 3920 S 1100 E, #115, Salt Lake City, UT 84124-1213 | 2007-01-30 |
| 1790724847 | Michael Richard Swinyer | Physician Assistant | 3920 S 1100 E, Suite 310, Salt Lake City, UT 84124-1213 | 2006-06-05 |
| 1689611824 | Max E. Jones | Podiatrist | 3920 S 1100 E, #115, Salt Lake City, UT 84124-1213 | 2006-05-31 |
| 1154380772 | Scott Raymond Stein | Dentist | 3920 S 1100 E, #370, Salt Lake City, UT 84124-1213 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275899809 | Utah Oral Surgery & Dental Implant Center | Oral & Maxillofacial Surgery | 6243 S Redwood Rd Ste 100, Salt Lake City, UT 84123-6408 | 2012-04-09 |
| 1851528244 | Matthew N Maxfield | Oral & Maxillofacial Surgery | 6710 S Blackstone Rd, Ste 104, Salt Lake City, UT 84121-6232 | 2009-06-12 |
| 1689795114 | Alvin J Stosich | Oral & Maxillofacial Surgery | 6268 S 900 E, Ste 100, Salt Lake City, UT 84121-2497 | 2007-04-02 |
| 1376607721 | Steven E Christensen | Oral & Maxillofacial Surgery | 6243 South Redwood Rd, Suite 100, Salt Lake City, UT 84123 | 2006-12-20 |
| 1174604128 | Nathan G Adams | Oral & Maxillofacial Surgery | 3920 S 1100 E Ste 150, Salt Lake City, UT 84124-1266 | 2006-10-18 |
| 1700809969 | Gregory William Egbert | Oral & Maxillofacial Surgery | 1250 E 3900 S, Ste 210, Salt Lake City, UT 84124-1367 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918094 | Southern Utah Surgical Arts | Oral & Maxillofacial Surgery | 393 E Riverside Dr, Ste 2b, St. George, UT 84790 | 2017-12-27 |
| 1245601012 | Oral & Maxillofacial Surgeons of Utah | Oral & Maxillofacial Surgery | 2297 N Hill Field Rd, Suite 105, Layton, UT 84041-6920 | 2015-10-19 |
| 1790089886 | Oral Surgery Specialty | Oral & Maxillofacial Surgery | 3648 W 9800 S, South Jordan, UT 84095-3260 | 2011-01-04 |
| 1619192424 | Gregory Earl Anderson | Oral & Maxillofacial Surgery | 1395 No. 400 E., Ste B, Logan, UT 84341 | 2007-04-16 |
| 1548320963 | Michael S Wilkinson | Oral & Maxillofacial Surgery | 1320 N 600 E, Suite 3, Logan, UT 84341-2431 | 2006-12-08 |
| 1215038740 | James H Barton | Oral & Maxillofacial Surgery | 882 N Main St, Richfield, UT 84701-1840 | 2006-09-26 |
| 1275531584 | Paul Benson | Oral & Maxillofacial Surgery | 890 Heritage Park Blvd, Layton, UT 84041-5633 | 2005-07-11 |
| 1750389367 | Scott Dieter Urban | Oral & Maxillofacial Surgery | 7532 S Center View Ct Ste 102, Suite 102, West Jordan, UT 84084-5547 | 2005-07-08 |
| 1417344557 | Vance Patrick Hall | Oral & Maxillofacial Surgery | 2297 N Hill Field Rd Ste 105, Layton, UT 84041-6928 | 2015-04-15 |
| 1831339829 | Creed S Haymond Dds PC | Oral & Maxillofacial Surgery | 1434 E 9400 South, Suite 102, Sandy, UT 84093 | 2009-03-03 |
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| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.