American Fork Modern Dentistry, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMERICAN FORK MODERN DENTISTRY, LLP

Practice address

945 West 500 North
Suite 105
American Fork, UT 84003

Phone

(801) 756-5643

Fax

(801) 756-4109

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eric John Swensen

Title

DDS/Owner

Phone

(801) 756-5643

Specialties & licenses 1

Addresses

Other names 1

• American Fork Modern Dentistry and Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1295091387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WEST 500 NORTH",
            "address_2": "SUITE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-756-5643",
            "fax_number": "801-756-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FORK MODERN DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "SWENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "801-756-5643",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Fork Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Fork Chiropractic & Accident Rehabilitation P.C.
• American Fork City Corporation
• American Fork Dialysis Center
• American Fork Dialysis LLC
• American Fork Hospital
• American Fork Orthodontics PC
• American Fork Pediatrics, Inc.
• American Fork Vision Center Inc.
• American Fork Vision LLC
• Monika Andersen

• All providers in American Fork, UT
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.