Copper Hills Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COPPER HILLS DENTAL

Practice address

3665 S 8400 W Ste 250
Magna, UT 84044-4911

Phone

(801) 250-0450

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Terry R Sorenson

Title

Dentist/Owner

Phone

(801) 250-0450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1114209178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W STE 250",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444911",
            "telephone_number": "801-250-0450",
            "fax_number": "801-250-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W STE 250",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444911",
            "telephone_number": "801-250-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER HILLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "801-250-0450"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Joel Christiansen, PA-C
• Logan S Clark, PA-C
• Lindy Clifford, BHT
• Jesika Ashleigh Cooper
• Copa Health
• Marlene Corona Godinez
• Alina Crawford
• Kara Ann Crebs, LMT
• Lorraine Bridget Cuellar, RN
• Cassey Curry, PA-C, MPAS

• All providers in Magna, UT
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.