Lakeview Dental Syracuse, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

5370773 Issued in UT

Legal business name

LAKEVIEW DENTAL SYRACUSE, INC.

Practice address

1662 S 2000 W
Ste A1
Syracuse, UT 84075-7137

Phone

(801) 825-2273

NPI assigned

May 24, 2011

Last updated

May 24, 2011By 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

Sandy Gutierrez

Title

Office Manager

Phone

(801) 825-2273

Specialties & licenses 1

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.

• Norman Kent Sharp II, DDS

  • General Practice Dentistry
  • Syracuse, UT
  • NPI 1881975464
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1316230360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 S 2000 W",
            "address_2": "STE A1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 S 2000 W",
            "address_2": "STE A1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757137",
            "telephone_number": "801-825-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL SYRACUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-825-2273"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5370773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan B Killpack, MC, LPC, CMHC
• Julie Ann Knopp, CSW
• Amber Lynne Kreiser
• Jerin H Lake
• Lakeshore Counseling
• Christa Larson
• Jeremiah Maurice Lindgren, DDS
• Lisa D S Johnson, Inc (A Brighter Journey Counseling Services)
• Jasmyne Litanski
• Live Strong Counseling and Health Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.