Serene Dentistry of North Salt Lake, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SERENE DENTISTRY OF NORTH SALT LAKE, PLLC

Practice address

761 N Redwood Rd Ste 120
North Salt Lake, UT 84054-2894

Phone

(385) 300-8184

Fax

(385) 489-7775

NPI assigned

Jul 15, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William J Bates, DDSNPI 1639426059

Title

Dentist

Phone

(801) 458-8720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Joseph Bates, DDS

  • Dentist
  • Corpus Christi, TX
  • NPI 1639426059
  NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1164156907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 N REDWOOD RD STE 120",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542894",
            "telephone_number": "385-300-8184",
            "fax_number": "385-489-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 N REDWOOD RD STE 120",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542894",
            "telephone_number": "385-300-8184",
            "fax_number": "385-489-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE DENTISTRY OF NORTH SALT LAKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-458-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Reagan, DPM
• Sandman Physician Services PC
• Katelyn Saunders, COTA/L
• Kiera Schlansky, M.D.
• Brent Seegmiller, LCSW
• Steven Sessions, PHARMD
• Jill Sharp
• Allison Marie Shelton, CCC-SLP
• Sandra Sheppard
• Laurel C Sheppick

• Dental Clinic/Center in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.