INTERMOUNTAIN DENTAL SPECIALISTS, LLC (NPI# 1780048868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780048868 |
Entity Type | Organization |
Organization Name | INTERMOUNTAIN DENTAL SPECIALISTS, LLC |
Practice Address |
1747 Heritage Ln Syracuse UT 84075-8552 |
Mailing Address |
3150 Sawtelle Blvd Apt 308 Los Angeles CA 90066-1445 |
Practice Telephone | 8018413300 |
Mailing Telephone | 7074909125 |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |
Authorized Official Name | DR. KEVIN CAHOON (DDS) |
Authorized Official Telephone | 8015609757 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
6413227-9922 | UT | Dental Providers |
Street Address |
1747 HERITAGE LN |
City | SYRACUSE |
State | UT |
Zip Code | 84075-8552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629037379 | Alan David Wilding | Dentist | 1747 Heritage Ln, Suite A-1, Syracuse, UT 84075-8552 | 2006-03-21 |
1417266297 | Terrence Mark Spalding | Social Worker | 1747 Heritage Ln, Suite B103, Syracuse, UT 84075-8552 | 2010-09-28 |
1467603753 | Live Strong Counseling and Health Services, LLC | Social Worker | 1747 Heritage Ln, Syracuse, UT 84075-8552 | 2008-10-04 |
1497945711 | Steve Hibbert | Dentist | 1747 Heritage Ln, Ste B202, Syracuse, UT 84075-8552 | 2007-08-01 |
1275746950 | Kirby Ian Potter | Social Worker | 1747 Heritage Ln, Suite B - 103, Syracuse, UT 84075-8552 | 2007-05-08 |
1962572529 | Heritage Dental Associates | Dentist | 1747 Heritage Ln, Suite A-1, Syracuse, UT 84075-8552 | 2006-11-09 |
1194755652 | Michael L. Gailey | Dentist | 1747 Heritage Ln, Suite B201, Syracuse, UT 84075-8552 | 2006-07-03 |
1841250990 | Andrew Kevin Nield | Dentist | 1747 Heritage Ln, Suite A-1, Syracuse, UT 84075-8552 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750775235 | Syracuse Assisted Living Phase I | Assisted Living Facility | 2063 W. 1900 S., Syracuse, UT 84075 | 2015-03-24 |
1881975464 | Norman Kent Sharp II | Dentist | 1662 S 2000 W Ste A1, Syracuse, UT 84075 | 2011-09-08 |
1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
1679799902 | Nathan Wesley Elmore | Chiropractor | 1842 South 2000 West, Syracuse, UT 84075 | 2007-04-17 |
1972635332 | Aspen Institute for Behavioral Assessment | Psychiatric Residential Treatment Facility | 2732 W 2700 S, Syracuse, UT 84075 | 2007-03-12 |
1427111558 | Sheldon L Peck | Dentist | 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 | 2006-12-19 |
1811081771 | Tyler R Elmore | Chiropractor | 1013 W 2700 S, Syracuse, UT 84075 | 2006-10-03 |
1235247438 | Brett R Coleman | Dentist | 780 S 2000 W, Bldg E304, Syracuse, UT 84075 | 2006-08-28 |
1164431177 | Kipton Jay Norris | Dentist | 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 | 2006-08-07 |
Find all providers in zip 84075 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518262773 | Stanley M. Kaplan | Dentist | 600 E. Genesee St., Suite 113, Syracuse, NY 13202 | 2011-01-20 |
1912919184 | Endodontic Associates PC | Dentist | 600 East Genesee St, Suite 113, Syracuse, NY 13202 | 2006-08-13 |
1801156591 | Jessica Lauren Spinella | Dentist | 910 Erie Blvd E, Syracuse, NY 13210 | 2012-05-29 |
1124210919 | Kevin Mark Fahey | Dentist | 600 East Genesee St, Syracuse, NY 13202 | 2007-08-15 |
1669663316 | Michael Robert Moynihan | Dentist | 600 East Genesee Street, Suite #113, Syracuse, NY 13202 | 2007-08-07 |
1164620951 | William Perry Baker IIi | Dentist | 600 E Genesee St, Ste 113, Syracuse, NY 13202-3130 | 2007-07-03 |
1336344829 | Gregory Scott Warne | Dentist | 600 East Genesee Street, Suite 113, Syracuse, NY 13202-3108 | 2007-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1689186272 | Itooth, LLC | Dentist | 181 W Vine St Ste B, Tooele, UT 84074-2084 | 2017-11-03 |
1457874059 | White Pine Endodontics PC | Dentist | 169 N Gateway Dr Ste 200, Providence, UT 84332-9516 | 2017-07-25 |
1801248885 | Stephen Rees | Dentist | 5334 S Woodrow St Ste 201, Murray, UT 84107-5838 | 2016-07-01 |
1437598521 | Desert Endodontics LLC | Dentist | 1224 S River Rd Ste 2, Saint George, UT 84790-8285 | 2013-06-21 |
1457618423 | Brandon Charles Pitcher | Dentist | 24 S 500 W Ste D, Bountiful, UT 84010-7188 | 2012-04-16 |
1376845610 | Alcorn Family Dentistry | Dentist | 5455 W. 11000 No., #103, Highland, UT 84003 | 2010-11-18 |
1922235639 | Brad Richard Christensen | Dentist | 1149 S 450 W, Suite 105, Brigham City, UT 84302-6707 | 2009-06-20 |
1861637308 | Endodontic Associates | Dentist | 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 | 2008-12-12 |
1790948594 | Stuart G. Gibby | Dentist | 2719 North Highway 89, Suite 100, Pleasant View, UT 84404 | 2008-07-02 |
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.