Stansbury Park Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

369873 Issued in UT

Legal business name

STANSBURY PARK DENTAL CARE

Practice address

263 Country CLB
#103
Stansbury Park, UT 84074-9600

Phone

(435) 882-2850

Fax

(435) 843-8852

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James F McConnell III, DMD

Title

Owner

Phone

(435) 882-2850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1144581307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 COUNTRY CLB",
            "address_2": "#103",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749600",
            "telephone_number": "435-882-2850",
            "fax_number": "435-843-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 COUNTRY CLB",
            "address_2": "#103",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749600",
            "telephone_number": "435-882-2850",
            "fax_number": "435-843-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANSBURY PARK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-882-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "369873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabeau Aurelia Robison
• Belle Rowan-Ferris, APRN, FNP-C
• Hilary S. Seibert, DO
• Linda Rose Shober, DPT
• Stansbury Dental and Implant Center PDC PLLC
• Stansbury Park Orthodontics
• Stansbury Park Pediatric Dentistry
• Stansbury Pediatric Dentistry
• Stansbury Pediatric Dentistry and Orthodontics
• Stansbury Pediatrics, Inc

• General Practice Dentistry in Stansbury Park, UT
• Providers in Stansbury Park, 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 Jun 5, 2012; 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.