DR. LUIS JOHN DAVILA (NPI# 1740406842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740406842 |
Entity Type | Individual |
Full Name | DR. LUIS JOHN DAVILA |
Credential | D.D.S |
Practice Address |
2507 Madison Ave Ogden UT 84401-2500 |
Mailing Address |
2014 W 4600 S Roy UT 84067-3320 |
Practice Telephone | 8013949428 |
Practice Fax Number | 8013949420 |
Mailing Telephone | 8017329002 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3597429922 | UT | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | UNITED CONCORDIA INSURANC | 985377 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881965697 | Luis Eduardo Davila | Psychologist | Calle El Torito R1, Colinas Metropolitanas, Guaynabo, PR 00969 | 2012-01-25 |
1861616153 | Luis R Davila | Internal Medicine | 3400 Highway 78 E, Medical Arts Tower Suite 504, Jasper, AL 35501-8907 | 2007-04-11 |
Street Address |
2507 MADISON AVE |
City | OGDEN |
State | UT |
Zip Code | 84401-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376971853 | Mind 1st Usa LLC | Technician/Technologist | 2507 Madison Ave, Ogden, UT 84401-2500 | 2013-10-21 |
1508292046 | Juan Andres Valenzuela | Technician/Technologist | 2507 Madison Ave, Ogden, UT 84401-2500 | 2013-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
Find all providers in zip 84401 |
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 |
---|---|---|---|---|
1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
1023500675 | Carsen Robert Mcdaniel | Dentist | 1016 E 5675 S, Ogden, UT 84405-7099 | 2018-05-30 |
1700287257 | Ismile At Ogden Dental Pllc | Dentist | 5275 Adams Ave Pkwy Ste A, Ogden, UT 84405-6748 | 2014-09-15 |
1336404763 | Modern Dental Professionals Utah, PC | Dentist | 1140 W Riverdale Rd, Suite D, Ogden, UT 84405-3787 | 2012-07-11 |
1093087629 | Matthew R. Wolpert | Dentist | 3860 Jackson Ave Ste 6, Ogden, UT 84403-1979 | 2012-01-27 |
1841568243 | South Ogden Dental PC | Dentist | 5738 S 1475 E Ste 200, Ogden, UT 84403-4859 | 2011-12-13 |
1518269984 | Paul Crandall Bennion | Dentist | 1796 Beus Dr., Ogden, UT 84403 | 2010-11-17 |
1053648881 | Mount Ogden Dental PC | Dentist | 12320 33rd Street, Suite D, Ogden, UT 84403 | 2009-11-16 |
Find all providers in OGDEN |
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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.