MVP Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MVP DENTAL, PLLC

Practice address

1195 W Park LN Ste 100
Farmington, UT 84025-3665

Phone

(801) 682-5810

Fax

(801) 298-8573

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Marlene McQuiston, DDS

Title

Office Manager

Phone

(801) 292-6819

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tyson Bishop, DMD

  • General Practice Dentistry
  • Bountiful, UT
  • NPI 1770111692
  NPD
• Mark H Blaisdell, D.D.S.

  • General Practice Dentistry
  • Bountiful, UT
  • NPI 1164432084
  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1215554167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 500 S STE 203",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103884",
            "telephone_number": "801-292-6819",
            "fax_number": "801-298-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 W PARK LN STE 100",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253665",
            "telephone_number": "801-682-5810",
            "fax_number": "801-298-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "MCQUISTON",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-292-6819",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roja R Mulamalla, MD
• Tristian Mullen, CSW
• Sarah Hart Murray, OTR/L
• Jacob Murrill
• Muscle Works Chiropractic LLC
• Myndfull Care Management Utah PC
• Myndfull Care Utah PC
• Austin E Nabor, PHARMD
• National Birth Centers, Inc.
• National Vision Inc

• General Practice Dentistry in Farmington, UT
• Providers in Farmington, 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 29, 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.