Sealants for Smiles

Primary specialty

DentistTaxonomy code 122300000X

License

140656-9924 Issued in UT

Legal business name

SEALANTS FOR SMILES

Practice address

5373 Green St
Suite 400
Salt Lake City, UT 84123-4680

Phone

(801) 313-7051

Fax

(801) 290-5126

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 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

Dr. Roger J Adams, DMD, MS, MBANPI 1134366602

Title

Ceo/President

Phone

(801) 313-7051

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.

• Roger J Adams, DMD, MS, MBA

  • Oral and Maxillofacial Surgery (Dentist)
  • Salt Lake City, UT
  • NPI 1134366602
  Authorized official Same address or phone

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1326285891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 GREEN ST",
            "address_2": "SUITE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234680",
            "telephone_number": "801-313-7051",
            "fax_number": "801-290-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 GREEN ST",
            "address_2": "SUITE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234680",
            "telephone_number": "801-313-7051",
            "fax_number": "801-290-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEALANTS FOR SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "801-313-7051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "140656-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Sunnyside LLC (Sarah Daft Assisting Living)
• Mallory R Sdano, MS, LCGC
• SDS Dental LLC (Canyon Rim Dental)
• Hanna Seabaugh
• Paul R Seager, MD
• Devin Seale
• Jamie Nielsen Seale, APRN
• Heidi Seaman
• James Peter Seaman, MD
• Meredith L. Seamon, M.D.

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.