Holladay Center Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

320562 Issued in UT

Legal business name

HOLLADAY CENTER DENTAL

Practice address

2160 E 4500 S Ste 3
Holladay, UT 84117-4499

Phone

(801) 277-9213

Fax

(801) 277-0956

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas B Lafeber, DMD

Title

Owner Doctor

Phone

(801) 277-9213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew G Ericksen, DDS

  • General Practice Dentistry
  • Holladay, UT
  • NPI 1811265143
  NPD (past)

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1265685176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E 4500 S STE 3",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174499",
            "telephone_number": "801-277-9213",
            "fax_number": "801-277-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E 4500 S STE 3",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174499",
            "telephone_number": "801-277-9213",
            "fax_number": "801-277-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY CENTER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "LAFEBER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "801-277-9213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "320562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latesia Higgins
• Jeffrey A. Hill, DDS
• Debbie Lee Hippolite Wright, MSW, PHD
• Conor Hodgson, PA-C
• Marina Hoggan, MS
• Holladay Dental Studio PLLC
• Holladay Dental Studio PLLC
• Holladay Home Assisted Living LLC (Holladay Home For The Elderly)
• Holladay Home for the Elderly
• Holladay Modern Dentistry, LLP (Holladay Modern Dentistry)

• Dental Clinic/Center in Holladay, UT
• Providers in Holladay, 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 Oct 23, 2008; 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.