RIVERSIDE DENTAL LLC (NPI# 1972740249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972740249 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE DENTAL LLC |
| Practice Address |
368 E Riverside Dr Bldg #2 St George UT 84790-6896 |
| Practice Telephone | 4356733363 |
| Mailing Telephone | 4356733363 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | DR. DAVID R STEVENS (MANAGER) |
| Authorized Official Telephone | 4356733363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5929127-9923 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689012361 | Riverside Dental LLC | Dentist | 235b Memorial Avenue, West Springfield, MA 01028-2846 | 2013-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | RIVERSIDE DENTAL LLC | 352 Cooley Street, Springfield, MA 01128 |
| Street Address |
368 E RIVERSIDE DR BLDG #2 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-6896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240310 | Roger L Siddoway | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-01-18 |
| 1164837621 | Dixie Pediatric Dental | Dentist | 368 E Riverside Dr, Building 6, St George, UT 84790-6896 | 2014-06-24 |
| 1083969455 | Steffanie Peterson | Nurse Practitioner | 368 E Riverside Dr, Ste A, St George, UT 84790-6897 | 2012-07-20 |
| 1730452814 | Amsurg St George Anesthesia, LLC | Anesthesiology | 368 E Riverside Dr, Suite B, St George, UT 84790-6896 | 2012-02-20 |
| 1386876761 | Ethan Lowell Snyder | Physician Assistant | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2009-08-18 |
| 1386775153 | Riverside Dental Care PC | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-03-07 |
| 1477688232 | David R Stevens | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-02-22 |
| 1104960863 | James Kim Ott | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-02-16 |
| 1255405957 | Utah Gastroenterology P C | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-11-17 |
| 1396851028 | Roxie A Brown | Clinical Nurse Specialist | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 1427558618 | Devin Nelson Dmd, PC | Clinic/Center | 1449 N 1400 W # A1, St George, UT 84770-5960 | 2018-02-14 |
| 1821619107 | Nic - St George, LLC | Clinic/Center | 437 S Bluff St Ste 102, St George, UT 84770-3553 | 2020-04-28 |
| 1811189996 | Derek R. Evans Dmd PC | Clinic/Center | 720 S River Rd, Suite C 215, St George, UT 84790-5507 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1407490402 | Accessible Dental LLC | Clinic/Center | 1236 E Cedar Ridge Rd, Sandy, UT 84094-5603 | 2019-11-01 |
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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.