Happy Tooth Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HAPPY TOOTH PEDIATRIC DENTISTRY, LLC

Practice address

2453 E 3300 S
Millcreek, UT 84109-2725

Phone

(801) 946-2565

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By 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. Tyler Dale Hanks, DMD, MPHNPI 1023545951

Title

Sole Owner

Phone

(801) 946-2565

Specialties & licenses 1

Addresses

Locations

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.

• Tyler Dale Hanks, DMD, MPH

  • Pediatric Dentistry
  • Millcreek, UT
  • NPI 1023545951
  NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1376176198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ORANGEWOOD DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045725",
            "telephone_number": "801-946-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 E 3300 S",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841092725",
            "telephone_number": "801-946-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY TOOTH PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "801-946-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hale, RN, MSN AHN, HWNC
• Aaron C. Hall, MPT
• Michael Jonathan Hall, DPT
• Tyler Dale Hanks, DMD, MPH
• Treyden Carl Hansen
• Ammon Hardin, LMT
• Amber Lynne Hardman, DNP
• Joshua Haywood
• Marc Healey
• Her Wellness Therapy, PLLC

• Pediatric Dentistry in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.