Creek Capital Cottonwood LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CREEK CAPITAL COTTONWOOD LLC

Practice address

7050 S Highland Dr Ste 110
Salt Lake City, UT 84121-3764

Phone

(801) 943-3233

NPI assigned

Aug 30, 2017

Organization subpart

No

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

Authorized official

Name

Marci Nicol

Title

Coo

Phone

(801) 312-7122

Specialties & licenses 1

Addresses

Other names 1

• Burg Children's Dentistry & Orthodontics- Cottonwood Doing business as

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1316465255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E VINE ST STE 10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075500",
            "telephone_number": "801-918-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213764",
            "telephone_number": "801-943-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CAPITAL COTTONWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-312-7122"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burg Children's Dentistry & Orthodontics- Cottonwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creators Legacy of Midvale LLC
• Colin Kelly Crebs, NUCLEAR PHARMACIST
• Jennifer Brooke Crebs
• Ramona Crebs, RPH
• Megan Stacy Cree
• Ryan Christopher Creek, PA-C
• Jamison Lane Creekmore
• Creekside Chiropractic PLLC
• Creekside Family Dental, P.C.
• Benjamin Creer I

• Pediatric Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.