Organization Active NPI

Greenwood Dental

  • General Practice Dentistry
  • Saratoga Springs, UT
National Provider Identifier
1346543261
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5158561-922 Issued in UT
Legal business name
GREENWOOD DENTAL
Practice address
76 E Commerce Dr
Suite 101
Saratoga Springs, UT 84045-4022
Phone
(801) 766-3269
Fax
(801) 766-3272
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Brandon Dale Greenwood, DDS
Title
Dentist/Owner
Phone
(801) 766-3269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5158561-922 UT Primary

Addresses

Primary practice location

76 E Commerce Dr
Suite 101
Saratoga Springs, UT 84045-4022

Mailing address

76 E Commerce Dr
Suite 101
Saratoga Springs, UT 84045-4022
Phone (801) 766-3269

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1346543261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454022",
            "telephone_number": "801-766-3269",
            "fax_number": "801-766-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454022",
            "telephone_number": "801-766-3269",
            "fax_number": "801-766-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "801-766-3269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5158561-922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.