Matthew and David Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

99373787 Issued in UT

Legal business name

MATTHEW AND DAVID DENTAL PLLC

Practice address

1355 Foothill Drive
Salt Lake City, UT 84108

Phone

(801) 582-5787

Fax

(801) 582-4502

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

David Stohl, DMD

Title

Owner

Phone

(801) 582-5787

Specialties & licenses 1

Addresses

Other names 1

• Foothill Dental LLC Doing business as

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1578993275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 FOOTHILL DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-582-5787",
            "fax_number": "801-582-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 FOOTHILL DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-582-5787",
            "fax_number": "801-582-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW AND DAVID DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "STOHL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-582-5787",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "99373787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fumisuke Matsuo, MD
• Yuko Matsuoka, APRN
• Matt Larson Psychotherapy and Associates
• Rano Naim Gabra Matta, MD
• Kristiana Matthes
• Matthew Dianthony, Psy.D.
• Matthew G Larson PC
• Brenda Kelly Matthews, DNP
• Darius Matthews
• Henry Matthews

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, 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 Nov 15, 2013; 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.