Adam Proctor, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009271 Issued in AZ

Practice address

376 E Gateway Dr Ste 202
Heber City, UT 84032-4616

Phone

(435) 657-1700

NPI assigned

Jun 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1427439405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 E GATEWAY DR STE 202",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324616",
            "telephone_number": "435-657-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E GATEWAY DR STE 202",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324616",
            "telephone_number": "435-657-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Potts
• Alicia M Power, MFTI
• Kim S Pozil, M.D.
• Annette Probst, L.P.C.
• Kent T Probst, D.D.S.
• Anika Hills Prows
• Psychiatric Consultation Services (Pathways Speech & Language Therapy)
• Pueblo Care Ut LLC (Pueblo Care)
• Amber Pulley, LPN
• Purple Sky Counseling, PLLC

• General Practice Dentistry in Heber City, UT
• Providers in Heber City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.