Enoch Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENOCH DENTAL CARE, LLC

Practice address

850 East Midvalley Rd
Enoch, UT 84721

Phone

(702) 465-0077

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Ann Norris

Title

President, Member

Phone

(435) 216-3084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1245794080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847212947",
            "telephone_number": "702-465-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EAST MIDVALLEY RD",
            "city": "ENOCH",
            "state": "UT",
            "postal_code": "84721",
            "telephone_number": "702-465-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCH DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT, MEMBER",
        "authorized_official_telephone_number": "435-216-3084",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Lee Caldwell, D.C.
• Amber D Dalton, FNP-C
• Enoch Community Healthcare
• Enoch Community Pharmacy
• Enoch Community Pharmacy PC
• Enoch Family Chiropractic, PLLC
• Anthony Fuentes
• Jacoy Garfield
• Natalie Rae Haley, MS/MHC
• Jacob Holm, OTR/L WCC

• Dental Clinic/Center in Enoch, UT
• Providers in Enoch, 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 Jan 25, 2019; 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.