Enhance Dental- Union Park, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENHANCE DENTAL- UNION PARK, LLC

Doing business as

Creek Dental Group at Union Park

Practice address

6957 S 1300 E
Midvale, UT 84047-1817

Phone

(801) 618-0246

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 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

Benjamin Bowman, DDS

Title

Owner/Partner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Other names 1

• Creek Dental Group at Union Park Doing business as

Locations

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1427627108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 S 1300 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471817",
            "telephone_number": "801-618-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 S 1300 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471817",
            "telephone_number": "801-618-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE DENTAL- UNION PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creek Dental Group at Union Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane G Elliott
• Hannah Ellsworth
• Keri Dawn Enger, LCSW
• Bridgez English, LCMHC
• Enhance Dental- Millcreek, LLC (Creek Dental Group- Millcreek)
• Enola Jenae Erickson
• Olivia Espericueta
• Brenda Espitia, PA-C
• Jannise Carolina Estrada
• Brynelle Etheridge

• Dental Clinic/Center in Midvale, UT
• Providers in Midvale, 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 Jun 17, 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.