MCCONNELL DENTAL CARE III (NPI# 1770135923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770135923 |
| Entity Type | Organization |
| Organization Name | MCCONNELL DENTAL CARE III |
| Practice Address |
263 Country Clb Ste 102 Stansbury Park UT 84074-9602 |
| Practice Telephone | 4358304967 |
| Mailing Telephone | 4358304967 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | DR. JAMES FARRELL MCCONNELL III (OWNER) |
| Authorized Official Telephone | 4358304967 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
263 COUNTRY CLB STE 102 |
| City | STANSBURY PARK |
| State | UT |
| Zip Code | 84074-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295218 | Stansbury Park Pediatric Dentistry | Dentist | 263 Country Clb Ste 102, Stansbury Park, UT 84074-9602 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295212884 | Wisdom Teeth Centers LLC | Dentist | 263 Country Clb Ste 103, Stansbury Park, UT 84074-9602 | 2018-07-26 |
| 1609977602 | April J Hinton | Dentist | 576 E Highway 138 Ste 200, Stansbury Park, UT 84074-4028 | 2006-09-25 |
| 1013358449 | Stansbury Dental and Implant Center Pdc Pllc | Dentist | 263 Country Club Dr., Suite 103, Stansbury Park, UT 84074-9600 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1689282089 | Nathan Elmer Kobold | Dentist | 188 E 2050 S Apt B4, Bountiful, UT 84010-5456 | 2020-07-21 |
| 1205454113 | Dylan Lane Harmon | Dentist | 1445 N 400 E # 3a, North Logan, UT 84341-7564 | 2020-07-07 |
| 1902420318 | Cory Johnson | Dentist | 170 E Commonwealth Ave, South Salt Lake, UT 84115-2712 | 2020-06-01 |
| 1538783196 | Trevor Garrett | Dentist | 182 Ashe Dr, Brigham City, UT 84302-2788 | 2020-05-29 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1396302055 | Shauniell Dearing | Dentist | 254 Birmingham Ln, North Salt Lake, UT 84054-6035 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | STANSBURY PARK |
| Zip Code | 84074 |
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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.