Wisdom Teeth Guys, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WISDOM TEETH GUYS, LLC

Doing business as

The Wisdom Teeth Guys

Practice address

81 W 500 S
Bountiful, UT 84010-6229

Phone

(801) 899-5512

NPI assigned

May 15, 2015

Last updated

May 15, 2015By 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

Mr. Ryan Arnold

Title

President

Phone

(801) 899-5512

Specialties & licenses 1

Addresses

Other names 1

• The Wisdom Teeth Guys Doing business as

Locations

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1295113793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 W 11000 N STE 103-226",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038942",
            "telephone_number": "801-899-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106229",
            "telephone_number": "801-899-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TEETH GUYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-899-5512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wisdom Teeth Guys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra J Wing, APRN
• Howard J Wing, MD
• Sara Winkler
• Samantha Winslow
• Joel D Winters, PT
• Baxter O Wise
• Berkley Rebecca Wiseman
• Tyler Wiseman, PHARMD
• Tanner Timothy Witte
• Lelajane Wixom, RBT

• Dental Clinic/Center in Bountiful, UT
• Providers in Bountiful, 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 May 15, 2015; 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.