ADVENTURE DENTAL (NPI# 1790793776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790793776 |
| Entity Type | Organization |
| Organization Name | ADVENTURE DENTAL |
| Other Organization Name | HIDDEN VALLEY PEDIATRIC DENTAL |
| Practice Address |
114 E 12450 S Suite 200 Draper UT 84020 |
| Mailing Address |
Po Box 830 Draper UT 84020 |
| Practice Telephone | 8014951610 |
| Practice Fax Number | 8014951631 |
| Mailing Telephone | 8014951610 |
| Mailing Fax Number | 8014951631 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MRS. ANNIE C HUFFMAN (BILLING MANAGER) |
| Authorized Official Telephone | 8014951610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
342300 | UT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5832460 | UT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Hidden Valley Pediatric Dental | Doing Business As Name - Organization |
| Street Address |
114 E 12450 S SUITE 200 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313953 | Karla A Feindt | Pediatrics | 114 E 12450 S, #100, Draper, UT 84020-8058 | 2005-11-17 |
| 1922665249 | Loran Patrick Hayes | Psychologist | 114 E 12450 S, Draper, UT 84020-8058 | 2019-05-22 |
| 1275821415 | Michael W Christensen | Dentist | 114 E 12450 S, Suite 200, Draper, UT 84020 | 2011-07-20 |
| 1497930853 | Amanda D. Orme | Nurse Practitioner | 114 E 12450 S, Suite 100, Draper, UT 84020-8058 | 2008-01-04 |
| 1326174616 | Rachel Jordan Woods | Pediatrics | 114 E 12450 S, #100, Draper, UT 84020-8058 | 2007-02-23 |
| 1992884308 | Nancy Jane Mcisaac | Massage Therapist | 114 E 12450 S, Suite #204, Draper, UT 84020-8058 | 2006-11-04 |
| 1336157312 | Brent C Dehart | Dentist | 114 E 12450 S, Suite 200, Draper, UT 84020 | 2006-08-04 |
| 1326056300 | Ryan C Moffat | Dentist | 114 E 12450 S, Suite 200, Draper, UT 84020 | 2006-08-04 |
| 1144267436 | Devin Christensen | Dentist | 114 E 12450 S, Suite 102, Draper, UT 84020-8058 | 2006-06-02 |
| 1871576280 | Daniel R Stampfl | Pediatrics | 114 E 12450 S, #100, Draper, UT 84020-8058 | 2005-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558760959 | Out of This World Dentistry PC | Dentist | 112 E 12450 S Ste 100, Draper, UT 84020-8057 | 2014-08-21 |
| 1962592329 | Cory Morris Stark | Dentist | 112 E 12450 S, 100, Draper, UT 84020-8056 | 2006-10-13 |
| 1760649081 | Spencer Todd Allen | Dentist | 112 E 12450 S, Bldg A100, Draper, UT 84020-8056 | 2008-05-22 |
| 1912035163 | Dr. Cory M. Stark D.d.s. | Dentist | 112 E 12450 S, #100, Draper, UT 84020-8056 | 2007-03-01 |
| 1336157312 | Brent C Dehart | Dentist | 114 E 12450 S, Suite 200, Draper, UT 84020 | 2006-08-04 |
| 1326056300 | Ryan C Moffat | Dentist | 114 E 12450 S, Suite 200, Draper, UT 84020 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
| 1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
| 1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
| 1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
| 1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 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.