Complete Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COMPLETE SMILES LLC

Practice address

5481 W 7800 S Ste 150
West Jordan, UT 84081-6030

Phone

(801) 943-9090

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Angie Spencer

Title

Operations Manager

Phone

(801) 943-9090

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Dean Sommerville, DMD

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1356836589
  NPD
• Boyd Kent Bladen, DDS

  • Dentist
  • West Jordan, UT
  • NPI 1255395513
  NPD (past)
• Tyler Bray

  • Endodontics
  • Salt Lake City, UT
  • NPI 1417447434
  NPD (past)
• Bryce A Frandsen, DMD

  • Dentist
  • West Jordan, UT
  • NPI 1912613167
  NPD (past)
• William Charles Vargo, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1275734451
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1194453100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 W 7800 S STE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840816030",
            "telephone_number": "801-943-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 W 7800 S STE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840816030",
            "telephone_number": "801-943-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1662 W 9000 S Ste A",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840889237",
            "country_code": "US",
            "telephone_number": "801-255-6581",
            "fax_number": "801-255-6581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7138 S Highland Dr Ste 219",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841213788",
            "country_code": "US",
            "telephone_number": "801-943-9090",
            "fax_number": "385-799-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "801-943-9090"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "12205341",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "11648624",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad L Collard, D.C.
• Samuel Colledge
• Nicholas Alan Colson
• Brigham G Colton, DMD
• Charity Colver
• Complete Smiles Mountain View - Accelerate LLC (Complete Smiles)
• Tangi Conard
• Concerto Utah LLC
• Drew Ray Conder
• Christopher Andrew Cook, DNP,CPNP-PC

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, 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 Aug 9, 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.