The Tooth Doctor

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1395529922 Issued in UT

Legal business name

THE TOOTH DOCTOR

Practice address

2180 E Fort Union Blvd.
Salt Lake City, UT 84121

Phone

(801) 944-4141

Fax

(801) 944-6377

NPI assigned

May 18, 2009

Last updated

May 18, 2009By 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

Ray E Dillman, D.D.S.,P.C.NPI 1528274180

Title

Owner

Phone

(801) 944-4141

Specialties & licenses 1

Addresses

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.

• Ray E Dillman, D.D.S. P.C.

  • General Practice Dentistry
  • Cottonwood Heights, UT
  • NPI 1528274180
  Authorized official Same address or phone

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1316172596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E FORT UNION BLVD.",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-944-4141",
            "fax_number": "801-944-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E FORT UNION BLVD.",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-944-4141",
            "fax_number": "801-944-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-944-4141",
        "authorized_official_credential": "D.D.S.,P.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "1395529922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Road Home
• The Salt Lake Marital and Family Therapy Clinic
• The Sarah Daft Home
• The Surgery Center at Salt Lake Regional, L.L.C.
• The Surgicare Center of Utah
• The Wentworth at Cottonwood Heights
• The Worth of One Soul, Inc. (The DBT Center)
• The Young Men's Christian Association of Northern Utah (YMCA of Northern Utah)
• Chloe Shae Theeuwes, MD
• Lauren H Theilen, MD

• Preferred Provider Organization in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Preferred Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.