JAMSTAN P C (NPI# 1699916502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699916502 |
| Entity Type | Organization |
| Organization Name | JAMSTAN P C |
| Other Organization Name | PRESLEY ORTHODONTICS FAMILY & COSMETIC DENTISTRY |
| Practice Address |
204 Fort Union Blvd Ste 102 Midvale UT 84047-5645 |
| Practice Telephone | 8015619999 |
| Practice Fax Number | 8015619979 |
| Mailing Telephone | 8015619999 |
| Mailing Fax Number | 8015619979 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | LINDSEY R GODWIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8015619999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
343288-9922 | UT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
343288-8903 | UT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
366356-8903 | UT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3663569921 | UT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Presley Orthodontics Family & Cosmetic Dentistry | Doing Business As Name - Organization |
| Street Address |
204 FORT UNION BLVD STE 102 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1831755156 | Cindy Rask | Dentist | 7651 S Main St, Midvale, UT 84047-7101 | 2019-05-13 |
| 1144719352 | Lesley Erin Lambert | Dentist | 7331 S Union Creek Way Apt 4g, Midvale, UT 84047-5921 | 2018-05-02 |
| 1669842647 | Center Square Family Dental, Pllc | Dentist | 7679 S Center Sq, Midvale, UT 84047-7329 | 2015-10-02 |
| 1124404322 | Reuben Leon Clark | Dentist | 655 West Center Street, Midvale, UT 84047 | 2015-08-11 |
| 1407112469 | Midvale Modern Dentistry, LLP | Dentist | 1144 East Fort Union Boulevard, Midvale, UT 84047 | 2012-04-04 |
| 1467744029 | Fort Union Family Dental, P.c | Dentist | 942 E 7145 S, Suite A108, Midvale, UT 84047-1764 | 2011-05-13 |
| 1134301724 | Cabot Curtis | Dentist | 7001 S 900 E Ste 350, Midvale, UT 84047-1750 | 2007-12-05 |
| 1699984526 | Mckay B Packer | Dentist | 1275 Fort Union Blvd Ste 210, Midvale, UT 84047-1885 | 2007-05-21 |
| 1427276351 | Cesar A. Paredes | Dentist | 7321 S State St Ste F, Midvale, UT 84047-2088 | 2007-04-23 |
| Find all providers in MIDVALE | ||||
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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.