G W Gatrell DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

G W GATRELL DDS PC

Practice address

2015 S 1300 E
SLC, UT 84105-3613

Phone

(801) 485-5952

Fax

(801) 485-5965

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By 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

Alyssa Ellen Gatrell

Title

Corporation Secretary

Phone

(801) 386-6729

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.

• Gregory Wallace Gatrell, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1912977752
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1386224467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841053613",
            "telephone_number": "801-485-5952",
            "fax_number": "801-485-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841053613",
            "telephone_number": "801-485-5952",
            "fax_number": "801-485-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G W GATRELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "GATRELL",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "801-386-6729"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Freasier
• Monica Ann Frederick, MSPT
• Scott Hartley Fredrickson, MD
• Kristine Freeman, LSAC
• Lara Mie Funakoshi, CCSH
• Briawna Gahley
• Charles Edward Galaviz, MD
• Dulce Galindo
• Kimberly Christina Gamarra
• Steven N. Gange, MD

• Dental Clinic/Center in SLC, UT
• Providers in SLC, 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 Apr 12, 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.