RANDY SEAN BARNHISEL DDS, PLLC (NPI# 1851937270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851937270 |
| Entity Type | Organization |
| Organization Name | RANDY SEAN BARNHISEL DDS, PLLC |
| Practice Address |
4970 S 900 E Ste G Salt Lake City UT 84117-3930 |
| Practice Telephone | 8012626811 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | RANDY BARNHISEL (OWNER) |
| Authorized Official Telephone | 8012626811 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Salt Lake Smile Design | Doing Business As Name - Organization |
| Street Address |
4970 S 900 E STE G |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376827832 | Dustin J Hopkin Dds, Oral and Maxillofacial Surgery P.C. | Clinic/Center | 2180 E 4500 S Ste 285, Salt Lake City, UT 84117-4028 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507153 | Legacy Heights Oral & Facial Surgery Pllc | Clinic/Center | 193 S 200 W Ste B, Farmington, UT 84025-2406 | 2020-10-27 |
| 1598024341 | Logan Oral Surgery | Clinic/Center | 3125 N. Main Street, Ste #103, North Logan, UT 84341-1550 | 2012-05-15 |
| 1962038711 | Stanley Oral & Facial Surgery Pllc | Clinic/Center | 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7163 | 2020-03-12 |
| 1558744748 | Ryan K Austin, Dds PC | Clinic/Center | 5742 S 1475 E Ste 100, South Ogden, UT 84403-4857 | 2015-07-07 |
| 1821400532 | Southwest Oral and Facial Surgery Inc | Clinic/Center | 11748 S 3600 W, Suite 1, South Jordan, UT 84095-5922 | 2014-05-29 |
| 1275722357 | Utah Surgical Arts | Clinic/Center | 3610 N University Ave, Suite 150, Provo, UT 84604-4437 | 2007-10-15 |
| City | SALT LAKE CITY |
| Zip Code | 84117 |
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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.