Organization Active NPI

Ephraim Family Dental Clinic, Inc.

  • Dental Clinic/Center
  • Ephraim, UT
National Provider Identifier
1598881906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5684051-9922 Issued in UT
Legal business name
EPHRAIM FAMILY DENTAL CLINIC, INC.
Practice address
35 E 400 S
Ephraim, UT 84627-1336
Phone
(435) 283-4081
Fax
(435) 283-6151
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wesley B Thompson, D.M.D.NPI 1497804090
Title
Manager
Phone
(435) 283-4081

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5684051-9922 UT Primary

Addresses

Primary practice location

35 E 400 S
Ephraim, UT 84627-1336

Mailing address

35 E 400 S
Ephraim, UT 84627-1336
Phone (435) 283-4081

National Provider Directory

National Provider Directory

Locations

35 E 400 S
Ephraim, UT 84627
Phone (435) 283-4081

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598881906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 400 S",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271336",
            "telephone_number": "435-283-4081",
            "fax_number": "435-283-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 400 S",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271336",
            "telephone_number": "435-283-4081",
            "fax_number": "435-283-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM FAMILY DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-283-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "5684051-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephraim, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.