Brookside Dental Management

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROOKSIDE DENTAL MANAGEMENT

Doing business as

Brookside Dental

Practice address

211 E 840 S
Orem, UT 84058-5018

Phone

(801) 375-9511

NPI assigned

Sep 10, 2024

Last updated

Sep 12, 2024By 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. David Brooks, DDSNPI 1093241283

Title

Member

Phone

(801) 550-5013

Specialties & licenses 1

Addresses

Other names 1

• Brookside Dental Doing business as

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.

• David Brooks

  • General Practice Dentistry
  • Orem, UT
  • NPI 1093241283
  Authorized official Same address or phone

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1194551804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 840 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585018",
            "telephone_number": "801-375-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 840 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585018",
            "telephone_number": "801-375-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE DENTAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-550-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Brooks
• David Brooks
• Kiara Brooks
• Meagan Lavelle Brooks, CSW
• Kaley Brooksby
• Savanna Brotherson
• Annie Brown
• Braden Jones Brown, PHD, LMFT
• Brianna Liane Brown
• Brittany A Brown

• Dental Clinic/Center in Orem, UT
• Providers in Orem, 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 12, 2024; 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.