Enhance Dental- Hunter Park, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENHANCE DENTAL- HUNTER PARK, LLC

Practice address

2792 S 5600 W
West Valley City, UT 84120-5590

Phone

(801) 969-9669

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin Bowman, DDS

Title

Owner/Partner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Other names 1

• Creek Dental Group- Hunter Park Doing business as

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1326616301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 S 5600 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205590",
            "telephone_number": "801-969-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 S 5600 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205590",
            "telephone_number": "801-969-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE DENTAL- HUNTER PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creek Dental Group- Hunter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zaydia Ellis, BS
• Alexandria Elmen
• Emergency Dental Care West Valley
• Empowered for Life, LLC
• Connor England, PA-C
• Trisha Pauline Ermatinger, FNP
• Jaymen Ervin
• Patricia Esparza
• Cindy Andrea Esquivel, PTA
• Casey Lauren Estes, PA-C

• Dental Clinic/Center in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.