Oral Design Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ORAL DESIGN DENTAL

Practice address

4802 S Holladay Blvd
Holladay, UT 84117-5407

Phone

(801) 733-7035

Fax

(801) 733-7031

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Nick Oganov

Title

Owner

Phone

(801) 733-7035

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Ross Carlisle, DMD, BS

  • Dentist
  • Bountiful, UT
  • NPI 1275097859
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1477917458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 S HOLLADAY BLVD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175407",
            "telephone_number": "801-733-7035",
            "fax_number": "801-733-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 S HOLLADAY BLVD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175407",
            "telephone_number": "801-733-7035",
            "fax_number": "801-733-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL DESIGN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "OGANOV",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-733-7035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J J Oberg, M.D.
• Oculoplastic Surgery, Inc.
• Tara Jill Olson
• Olympus Health and Performance
• Olympus Spine and Pain
• Emily Ann Osisek
• Jeffrey Todd Owens, DC
• Michelle Owens, DPT, ATC
• P I C Incorporated
• Jeremy Pack

• General Practice Dentistry in Holladay, UT
• Providers in Holladay, 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 Apr 6, 2016; 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.