Dental Transformations LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL TRANSFORMATIONS LLC

Doing business as

Dental Transformation
Dental Transformations

Practice address

3280 W 3500 S Ste 3
West Valley, UT 84119-2688

Phone

(252) 335-4341

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Kaleb Thompson, DMDNPI 1710437322

Title

Owner

Phone

(252) 335-4341

Specialties & licenses 1

Addresses

Other names 2

• Dental Transformation Doing business as
• Dental Transformations Doing business as

Practitioners 1

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

• Kaleb Thompson, D.M.D.

  • Dentist
  • Elizabeth City, NC
  • NPI 1710437322
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1568189702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E COLONIAL AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094363",
            "telephone_number": "252-335-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S STE 3",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841192688",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TRANSFORMATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-335-4341",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Transformation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Transformations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sepideh Daeery, PHARMD
• John B Dame, MD
• Cari Davis
• Deborah Ann Davis, LCSW
• Juanita Degregoria
• Dentistry for Children West Valley PC
• Deseret Home Health, LLC
• DME Solutions, LLC
• Kate Doan
• Paige Eccles

• Dental Clinic/Center in West Valley, UT
• Providers in West Valley, 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 Oct 27, 2022; 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.