DR. LELAND WILLIAM PACK (NPI# 1750691077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750691077 |
| Entity Type | Individual |
| Full Name | DR. LELAND WILLIAM PACK |
| Credential | D.M.D., M.S. |
| Practice Address |
2112 N Hill Field Rd Ste 1 Layton UT 84041-4047 |
| Practice Telephone | 8017740770 |
| Mailing Telephone | 8017740770 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
324142-9921 | UT | Dental Providers |
| Street Address |
2112 N HILL FIELD RD STE 1 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889689 | Donald Lance Mangum | Chiropractor | 2112 N Hill Field Rd, Suite 2b, Layton, UT 84041-4047 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083159842 | Taylor James Metcalf | Dentist | 984 N 3200 W, Layton, UT 84041-8728 | 2017-01-03 |
| 1265652077 | Craig L. Coombs D.d.s., PC | Dentist | 2185 Robins Dr, Suite 203, Layton, UT 84041-1154 | 2007-04-26 |
| 1972721843 | Stephen S. Luddington | Dentist | 2317 N. Hillfield Rd., Suite 105, Layton, UT 84041 | 2007-04-23 |
| 1255364352 | Michael L Wasuita | Dentist | 525 N Fairfield Rd, Layton, UT 84041 | 2006-07-09 |
| 1962809673 | Craig Coombs | Dentist | 2185 N 1700 W, Suite 203, Layton, UT 84041-1154 | 2014-11-24 |
| 1346307345 | Jamey Clay Watson | Dentist | 1492 W Antelope Dr, Layton, UT 84041-1139 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100295 | Riley Hunsaker | Dentist | 10654 S River Heights Dr, South Jordan, UT 84095-5522 | 2020-10-09 |
| 1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
| 1346884335 | Orthodontics of St. George, P.C. | Dentist | 965 E 700 S Ste 101, St George, UT 84790-4084 | 2019-11-01 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1366096208 | Hailee Rask | Dentist | 2255 N University Pkwy Ste 37, Provo, UT 84604-1503 | 2019-07-29 |
| 1477112779 | Alan Clawson Baugh | Dentist | 4019 W 12600 S Ste 210, Riverton, UT 84096-7407 | 2019-06-10 |
| 1821553785 | Raymond Scott Hlavaty | Dentist | 150 E 200 N Ste A, Logan, UT 84321-4036 | 2019-02-05 |
| 1235601659 | Burke and Beckstrom Orthodontics | Dentist | 446 S Mall Dr Ste 100, St George, UT 84790-4944 | 2018-12-24 |
| 1194294488 | Kent Joseph Baugh | Dentist | 164 E 5900 S Ste A109, Murray, UT 84107-7248 | 2018-11-16 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
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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.