Stonehaven Dental - Mapleton LLC
Organization Active NPI General Practice Dentistry · Mapleton, UT
NPI 1083010946 · NPPES record last updated Nov 5, 2014
Key facts
- NPI
- 1083010946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- STONEHAVEN DENTAL - MAPLETON LLC
- Practice address
- 425 N Main St
Mapleton, UT 84664-3410 - Phone
- (502) 254-8500
- NPI assigned
- Nov 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Corez Logan
- Title
- Credentialing Specialist
- Phone
- (502) 254-8500
National Provider Directory
Locations
425 N Main St
Mapleton, UT 84664
Phone (801) 491-8191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | UT | Yes |
Addresses
Primary practice location
425 N Main St
Mapleton, UT 84664-3410
Mailing address
425 N Main St
Mapleton, UT 84664-3410
Other providers in Mapleton, UT
- Rocky Mountain Care - Mapleton Manager LLC
- Summer Simmons
- Tysa Slade
- Gillan Maclean Smith
- Stellify Trauma Therapy
- Stonehenge Care LLC
- Sundance Dermatology, LLC
- Sunrise Womens Health and Wellness PLLC
- Keegan Taylor
- Telerad of Ut Account Management LLC
All providers in Mapleton, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.