Advanced Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

6712357-9923 Issued in UT

Legal business name

ADVANCED DENTAL PC

Practice address

1272 W Highway 40
Vernal, UT 84078-2925

Phone

(435) 781-0660

NPI assigned

Nov 1, 2016

Last updated

Nov 18, 2020By 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

Tyler Shiner, DDSNPI 1710136049

Title

President

Phone

(435) 828-4099

Specialties & licenses 2

Addresses

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.

• Tyler Shiner, DDS

  • General Practice Dentistry
  • Vernal, UT
  • NPI 1710136049
  Authorized official Same address or phone

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1265984660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782925",
            "telephone_number": "435-781-0660",
            "fax_number": "435-781-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782925",
            "telephone_number": "435-781-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SHINER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-828-4099",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "UT",
            "license": "6712357-9923",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "6712357-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Level Ventures (Beehive Homes of Vernal)
• A Level Ventures (Beehive Homes of Vernal)
• Aaron M Hartman OD PC (Ashley Valley Eye Care)
• Cory Edward Aders, LMFT
• Advanced Clinical Laboratory
• Advanced Spine and Sport Clinic, PLLC
• David James Aldrich, MED, MSW, PHD
• Aligned Counseling LLC
• Travis Ray Allan, D.C.
• Allegiance Addiction Recovery Center

• Dentist in Vernal, UT
• Providers in Vernal, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.