Thomas N Austad, D.D.S.
Individual provider Active NPI General Practice Dentistry · Clinton, UT
NPI 1184840779 · NPPES record last updated Jan 14, 2013
Key facts
- NPI
- 1184840779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6246038 (UT)
- Practice address
- 1737 N 2000 W
Suite G
Clinton, UT 84015 - Phone
- (801) 728-9000
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150806011320 | UT | Order and Referring Only - Dentist |
7810201654 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6246038 | UT | MD | General Practice Dentistry |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Dental Group, LLP | General Practice | Past | Accepting new patients |
Networks
- UT PPO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6246038 | UT | Yes |
Addresses
Primary practice location
1737 N 2000 W
Suite G
Clinton, UT 84015
Mailing address
134 N 3300 W
Layton, UT 84041-6837
Other providers in Clinton, UT
- Jaclyn Arave
- Nelson L Astle
- Atkinson Wellness PLLC
- Austin Atkinson
- Ryan Allen Atkinson
- Kirsten E Baca
- Christopher Barber
- Todd C Barney
- Nermeen Nadeem Baseer
- Blair Arthur Bateman
All providers in Clinton, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.