Willow Creek Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLOW CREEK DENTAL

Practice address

8757 Highland Dr
Sandy, UT 84093-1698

Phone

(801) 947-0505

Fax

(801) 942-0703

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Kelly Ann Cutler

Title

President

Phone

(801) 947-0505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1285819771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 HIGHLAND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931698",
            "telephone_number": "801-947-0505",
            "fax_number": "801-942-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 HIGHLAND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931698",
            "telephone_number": "801-947-0505",
            "fax_number": "801-942-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-947-0505"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick E. Williams, RPH
• Bonnie Williamson, MPT
• Tyler Williamson, P.A.
• Deborah Ann Willoughby, M.S. CCC-SLP
• Willow Creek Chiropractic Inc.
• Valerie Jean Wilson, ACMHC
• Chelsey Maree Winegar
• Erek Roy Winnett, AUD
• Kimberly Winter
• Maryelizabeth Winter, MNT

• General Practice Dentistry in Sandy, UT
• Providers in Sandy, 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 Jan 3, 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.