Superior Smiles Incorporated

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUPERIOR SMILES INCORPORATED

Practice address

5640 Wasatch Dr Ste E
South Ogden, UT 84403-4993

Phone

(801) 682-0017

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Alexander Michael Richens

Title

Owner/Manager

Phone

(702) 629-0942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1164038774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR STE E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR STE E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034993",
            "telephone_number": "801-682-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SMILES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "RICHENS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "702-629-0942"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Stevenson, DC
• Cynthia L. Steward, RN
• Kirsten Straniere, CCC-SLP
• Structura Body Therapies, LLC
• Amy Sudbury
• Surgery Center at South Ogden, LLC
• T Sharman Sutherland, M.D.
• Jesse Scott Swift, M.D.
• Mohammad Omer Syed, MD
• Kathryn Szanter

• General Practice Dentistry in South Ogden, UT
• Providers in South Ogden, 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 Sep 18, 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.