Stonehaven Dental - Eagle Mountain

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STONEHAVEN DENTAL - EAGLE MOUNTAIN

Practice address

3566 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5680

Phone

(502) 254-8500

NPI assigned

Oct 31, 2018

Last updated

Sep 5, 2023By 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

Jeff Reibel

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1457828147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 E PONY EXPRESS PKWY STE 1",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055680",
            "telephone_number": "502-254-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN DENTAL - EAGLE MOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "REIBEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Katrina Staten
• Aubri Ann Stclair, ABOC
• Dennis Earl Stevens, LCSW
• Kyle Stewart
• Gabrielle Stoddard, LCSW
• Brennan Stringam, DDS
• Olivia Anne Stubbs
• Michael Jared Stucki, PHARMD
• Matthew P Sudweeks, DPT
• Summit Spa & Float - Eagle Mountain LLC

• Dentist in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.