PONY EXPRESS DENTAL OF ALPINE (NPI# 1932714516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932714516 |
| Entity Type | Organization |
| Organization Name | PONY EXPRESS DENTAL OF ALPINE |
| Practice Address |
20 W Main Street Ct Ste 100 Alpine UT 84004-1889 |
| Mailing Address |
5396 W Daybreak Pkwy South Jordan UT 84009-5900 |
| Practice Telephone | 8018457760 |
| Mailing Telephone | 8018457760 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | JANET JENSEN (DIRECTOR OF FINANCE AND OPERATIONS) |
| Authorized Official Telephone | 8018457760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Alpine Dentistry | Doing Business As Name - Organization |
| Street Address |
20 W MAIN STREET CT STE 100 |
| City | ALPINE |
| State | UT |
| Zip Code | 84004-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306489059 | Alpine Dentists and Specialists Pllc | Dentist | 20 W Main Street Ct Ste 100, Alpine, UT 84004-1889 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148404 | Virgil Jon Parker | Internal Medicine | 646 W 600 N, Alpine, UT 84004 | 2010-02-10 |
| 1245302751 | Garon E Larsen | Dentist | 70 West Canyon Crest Road, Alpine, UT 84004 | 2006-11-14 |
| 1093801151 | Mitchell D Albrecht | Anesthesiology | 1034 N 500 W, Provo, UT 84004 | 2006-10-05 |
| 1790187847 | Stephanie Gross | Acupuncturist | 1034 Moyle Dr, Alpine, UT 84004-1206 | 2014-09-19 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1669794806 | Vernon C. Utley | Social Worker | 646 N 610 E, Alpine, UT 84004-1220 | 2010-02-15 |
| 1568792760 | David Lawrence Scott | Pediatrics | 424 Aspen Ridge Ln, Alpine, UT 84004-1223 | 2010-01-11 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1528452125 | James H Cloyd, Phd, LLC | Psychologist | 758 Canterbury Ln, Alpine, UT 84004-1255 | 2015-03-23 |
| 1407405384 | Felicity Kaden Mills | Behavior Technician | 587 Hillside Dr, Alpine, UT 84004-1355 | 2019-09-04 |
| Find all providers in zip 84004 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464718 | Bella Dental West Texas, Pllc | Clinic/Center | 102 N 7th St, Alpine, TX 79830-4606 | 2016-01-08 |
| 1518347921 | Presidio County Health Services Inc. | Clinic/Center | 1605 N. Ft. Davis Hwy., Alpine, TX 79830 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609015 | Corner Clinic Dental Stg | Clinic/Center | 2351 S River Rd Ste 4, St George, UT 84790-8749 | 2020-11-04 |
| 1124637665 | Pony Express Dental of Saratoga Springs | Clinic/Center | 2253 S. Talons Cove Drive, Saratoga Springs, UT 84045-8400 | 2020-07-30 |
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1114549573 | Richfield Family Dental | Clinic/Center | 820 N Main St Ste 1, Richfield, UT 84701-1893 | 2020-05-08 |
| 1639790918 | Nic-utah County, LLC | Clinic/Center | 2230 N University Pkwy Ste 8b, Provo, UT 84604-6700 | 2020-04-28 |
| 1063032225 | Haven Dental LLC | Clinic/Center | 2685 N 1000 W, Pleasant View, UT 84414-2660 | 2020-04-17 |
| 1972139681 | Kayscreek Dental Pllc | Clinic/Center | 349 N Flint St, Kaysville, UT 84037-9807 | 2020-03-14 |
| 1831721240 | Sg Dental Pllc | Clinic/Center | 225 Skyhawk Dr, Wendover, UT 84083-4501 | 2020-02-05 |
| 1740829993 | V and S Dental LLC | Clinic/Center | 3816 W 13400 S Ste 200, Riverton, UT 84065-7888 | 2020-01-04 |
| 1124664834 | Simply Smiles Dental Utah | Clinic/Center | 2592 S 5600 W Ste 102, West Valley City, UT 84120-1274 | 2019-11-18 |
| 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.