Organization Active NPI

Utah Family Dental Cottonwood Heights

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1417575879
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UTAH FAMILY DENTAL COTTONWOOD HEIGHTS
Practice address
7069 S Highland Dr Ste 200
Salt Lake City, UT 84121-3731
Phone
(801) 943-2222
NPI assigned
Jul 10, 2020
Organization subpart
Yes
Parent organization
UTAH FAMILY DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Dr. Aaron Stobbe, DMDNPI 1689716045
Title
Owner
Phone
(435) 849-1812

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7069 S Highland Dr Ste 200
Salt Lake City, UT 84121-3731

Mailing address

394 S Main St
Tooele, UT 84074-2746
Phone (435) 849-1812

National Provider Directory

National Provider Directory

Locations

7069 S Highland Dr
Ste 200
Salt Lake City, UT 84121
Phone (801) 292-0443

Practitioners & affiliated clinicians

Practitioners 2

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": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1417575879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742746",
            "telephone_number": "435-849-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7069 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213731",
            "telephone_number": "801-943-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH FAMILY DENTAL COTTONWOOD HEIGHTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH FAMILY DENTAL GROUP",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "STOBBE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-849-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.