NPIMap

Organization Active NPI

MJS Dental, Inc

Doing business as Lake City Dental

  • Dentist
  • Murray, UT
National Provider Identifier
1386014538
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6643737 Issued in UT
Legal business name
MJS DENTAL, INC
Doing business as
Lake City Dental
Practice address
142 W. Winchester St.
Murray, UT 84107
Phone
(801) 266-4427
Fax
(801) 266-9034
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Morgan J. Smith, DMDNPI 1598943136
Title
Owner/ Dentist
Phone
(801) 266-4427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6643737 UT Primary

Addresses

Primary practice location

142 W. Winchester St.
Murray, UT 84107

Mailing address

PO Box 40760
Mesa, AZ 85274
Phone (480) 706-9430

Other names 1

  • Lake City Dental Doing business as

National Provider Directory

National Provider Directory

Locations

142 W Winchester St
Murray, UT 84107
Phone (801) 266-4427

6065 S Fashion Blvd
Ste 200
Salt Lake City, UT 84107
Phone (801) 266-4427

Practitioners & affiliated clinicians

Practitioners 3

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": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1386014538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40760",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85274",
            "telephone_number": "480-706-9430",
            "fax_number": "480-461-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W. WINCHESTER ST.",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-266-4427",
            "fax_number": "801-266-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJS DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "801-266-4427",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "6643737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake City Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

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