Utah Dental Providers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18458 Issued in TX

Legal business name

UTAH DENTAL PROVIDERS

Practice address

1909 W 4700 S
Salt Lake City, UT 84118-1105

Phone

(801) 968-9548

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

John Everett Ballard

Title

Cio

Phone

(972) 755-0800

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheri Ferguson

  • Dental Hygienist
  • Taylorsville, UT
  • NPI 1679794721
  NPD (past)
• Joseph Samuel Maio, D.D.S

  • Dentist
  • Taylorsville, UT
  • NPI 1407896681
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104903152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MCEWEN RD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445113",
            "telephone_number": "972-755-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W 4700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841181105",
            "telephone_number": "801-968-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH DENTAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "972-755-0800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Center for Reproductive Medicine
• Utah CVS Pharmacy LLC
• Utah CVS Pharmacy LLC
• Utah CVS Pharmacy LLC
• Utah CVS Pharmacy LLC
• Utah Dental United
• Utah Emergency Physicians
• Utah Endocrinology Associates PLLC
• Utah Eye Associates LLC
• Utah Family Dental Cottonwood Heights

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, 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.