Manti Family Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

144952-9922 Issued in UT

Legal business name

MANTI FAMILY DENTAL CLINIC

Practice address

93 S Main St
Manti, UT 84642-1350

Phone

(435) 835-4881

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonard R. Aste, D.D.S.NPI 1306051297

Title

President

Phone

(435) 835-4881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard R. Aste, D.D.S.

  • General Practice Dentistry
  • Manti, UT
  • NPI 1306051297
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033324959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 S MAIN ST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846421350",
            "telephone_number": "435-835-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 S MAIN ST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846421350",
            "telephone_number": "435-835-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTI FAMILY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASTE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-835-4881",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144952-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529083004011",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madolyn Liebing, M.F.T, PSYCHOLOGIST
• Corbin Linam
• Jessica Lund, NBCHWC
• Main Street Clinic LLC
• Manti Ambulance Association
• Michael McQuivey
• Lauren Linn Miller, FNP-BC
• Koleton Michael Moon
• Sheri Morris, LMFT
• New Beginnings Family Counseling

• General Practice Dentistry in Manti, UT
• Providers in Manti, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.