Salt Lake Mobile Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SALT LAKE MOBILE DENTAL LLC

Doing business as

Journey Dental

Practice address

622 E 4500 S Ste 201
Murray, UT 84107-2922

Phone

(801) 477-6333

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By 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

Dr. Dallis J Zurcher, DDSNPI 1134504053

Title

Owner / Dentist

Phone

(801) 550-5013

Specialties & licenses 1

Addresses

Other names 1

• Journey Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dallis Jacob Zurcher, DDS

  • Dentist
  • Murray, UT
  • NPI 1134504053
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1588334387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 S COBBLECREST RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841212254",
            "telephone_number": "801-550-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 4500 S STE 201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841072922",
            "telephone_number": "801-477-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE MOBILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "ZURCHER",
        "authorized_official_first_name": "DALLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "801-550-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathrynn Sachs
• Theadora Sakata
• Bassel Saksouk, M.D.
• Casey Salgado
• Scott Michael Salomone, M.D.
• Salt Lake Specialty Hospital Inc
• Salt Lake Specialty Hospital Inc (Salt Lake Specialty Hospital)
• Sam's Club Optical (Sam's Club Optical 30-6683)
• Sams West Inc (Sams Pharmacy 10-6683)
• Bryan Samuelson

• Dental Clinic/Center in Murray, UT
• Providers in Murray, 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 Sep 14, 2021; 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.