Fashion Place Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

4737943-9922 Issued in UT

Legal business name

FASHION PLACE DENTAL PC

Practice address

6095 Fashion Blvd
Suite 3290
Murray, UT 84107-7397

Phone

(801) 262-7770

Fax

(801) 262-2983

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Earl Goodman, D.M.D.

Title

Owner

Phone

(801) 262-7770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417177197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 FASHION BLVD",
            "address_2": "SUITE 3290",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077397",
            "telephone_number": "801-262-7770",
            "fax_number": "801-262-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 FASHION BLVD",
            "address_2": "SUITE 3290",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077397",
            "telephone_number": "801-262-7770",
            "fax_number": "801-262-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION PLACE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-262-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "4737943-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahri Hansen Farnsworth, AU.D.
• Steven T Farnsworth, MD
• Chelsea Farrell
• Leslie Pollio Farrell, NP
• Fashion Place Dental
• Fast Track Pain and Surgical
• Masarret Ashfaq Fazili, MD
• Melanie Fazio, RN
• Caleb Hendrik Featherstone
• David Matthew Fedor, D.O.

• Dentist in Murray, UT
• Providers in Murray, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.