Active NPI
Wasatch Family Dentistry
- General Practice Dentistry
- Heber City, UT
National Provider Identifier
1477649697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 373732-9922
- Legal business name
- WASATCH FAMILY DENTISTRY
- Practice address
- 380 E 1500 S
#203
Heber City, UT 84032 - Phone
- (435) 654-4500
- Fax
- (435) 654-3728
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reed D Lobrot, DDS
- Title
- Pres
- Phone
- (435) 654-4500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 373732-9922 | UT | Primary |
Addresses
Primary practice location
380 E 1500 S
#203
Heber City, UT 84032
Mailing address
380 E 1500 S
#203
Heber City, UT 84032
Phone (435) 654-4500
Other names 1
- Back of the Wasatch Family & Cosmetic Dentistry
National Provider Directory
National Provider DirectoryLocations
380 E 1500 S
Ste 203
Heber City, UT 84032
Phone (435) 654-4500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Heber City, UT
- NPI 1508008491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1477649697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E 1500 S",
"address_2": "#203",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "84032",
"telephone_number": "435-654-4500",
"fax_number": "435-654-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E 1500 S",
"address_2": "#203",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "84032",
"telephone_number": "435-654-4500",
"fax_number": "435-654-3728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "LOBROT",
"authorized_official_first_name": "REED",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "435-654-4500",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "373732-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Back of the Wasatch Family & Cosmetic Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.