Active NPI
Tooele Dental Office, LLC
- Dentist
- Tooele, UT
National Provider Identifier
1346689890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TOOELE DENTAL OFFICE, LLC
- Practice address
- 1204 N Main St
Tooele, UT 84074-9540 - Phone
- (435) 579-4600
- NPI assigned
- Jun 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Anderson
- Title
- Manager
- Phone
- (801) 825-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1204 N Main St
Tooele, UT 84074-9540
Mailing address
1662 S 2000 W
Ste A1
Syracuse, UT 84075-7137
Other names 1
- Oquirrah Hills Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Syracuse, UT
- NPI 1881975464
-
- Dentist
- Denton, TX
- NPI 1417395666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1346689890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 S 2000 W",
"address_2": "STE A1",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840757137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N MAIN ST",
"city": "TOOELE",
"state": "UT",
"postal_code": "840749540",
"telephone_number": "435-579-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOOELE DENTAL OFFICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-825-2273"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oquirrah Hills Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.