Creek Road Dental

Primary specialty

DentistTaxonomy code 122300000X

License

590701-8903 Issued in UT

Legal business name

CREEK ROAD DENTAL

Practice address

7369 E Creek Rd
Sandy, UT 84093-6154

Phone

(801) 566-5577

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tyler B Carlson, DMD

Title

Member

Phone

(801) 703-8947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1629329719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 E CREEK RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936154",
            "telephone_number": "801-566-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 E CREEK RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936154",
            "telephone_number": "801-566-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK ROAD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-703-8947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "590701-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Crandall, CMHC
• Ashley Craven, O.D.
• Creative Networks, LLC (Home Care Living)
• Creed S Haymond DDS PC
• Creek Capital Lone Peak LLC (Burg Children's Dentistry & Orthodontics- Lone Peak)
• Creek Road Orthodontics and Pediatric Dentistry
• Creek Road Smiles LLC
• Creekside Oral & Facial Surgery Inc
• Holli Crosby, ACMHC
• Crossover Health Medical Group

• Dentist in Sandy, UT
• Providers in Sandy, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.