Enhance Dental- Millcreek, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENHANCE DENTAL- MILLCREEK, LLC

Doing business as

Creek Dental Group- Millcreek
Kids Dental Home Union Park

Practice address

6957 S 1300 East
Midvale, UT 84047

Phone

(801) 747-8015

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin James Bowman

Title

Owner

Phone

(405) 375-5855

Specialties & licenses 1

Addresses

Other names 2

• Creek Dental Group- Millcreek Doing business as
• Kids Dental Home Union Park 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.

• Eric Endres, DDS

  • General Practice Dentistry
  • Burtonsville, MD
  • NPI 1861968430
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1215505201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 S 1300 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471817",
            "telephone_number": "801-747-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 S 1300 EAST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "84047",
            "telephone_number": "801-747-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE DENTAL- MILLCREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-12-04",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-375-5855"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creek Dental Group- Millcreek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creek Dental Group- Millcreek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Dental Home Union Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Eisenman
• Shane G Elliott
• Hannah Ellsworth
• Keri Dawn Enger, LCSW
• Bridgez English, LCMHC
• Enhance Dental- Union Park, LLC (Creek Dental Group at Union Park)
• Enola Jenae Erickson
• Olivia Espericueta
• Brenda Espitia, PA-C
• Jannise Carolina Estrada

• Dental Clinic/Center in Midvale, UT
• Providers in Midvale, 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 Dec 4, 2023; 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.