Individual provider Active NPI

Steven Gregory Prince, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • American Fork, UT
National Provider Identifier
1326396383
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12446733-9921 Issued in UT
Practice address
36 S 1100 E Ste a
American Fork, UT 84003-2837
Phone
(801) 756-6246
NPI assigned
Aug 24, 2012
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008513 AZ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12446733-9921 UT Primary

Addresses

Primary practice location

36 S 1100 E Ste a
American Fork, UT 84003-2837

Mailing address

10454 N Edinburgh Dr
Highland, UT 84003-9584
Phone (480) 291-2318

Other practice location 1

11501 S 4000 W Ste 101
South Jordan, UT 84009-6028
Phone (801) 701-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12446733-9921UTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
American Fork Orthodontics PC Orthodontics and Dentofacial Orthopedics PastSince Nov 28, 2021 Accepting new patients
Alhambra Dental Partners LLC PastSince Feb 18, 2024 Accepting new patients
Dentists of South Jordan, LLP Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1326396383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10454 N EDINBURGH DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039584",
            "telephone_number": "480-291-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S 1100 E STE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032837",
            "telephone_number": "801-756-6246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11501 S 4000 W Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840096028",
            "country_code": "US",
            "telephone_number": "801-701-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "STEVEN",
        "middle_name": "GREGORY",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-24",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008513",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "12446733-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.