Summit Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

309191-9922 Issued in UT

Legal business name

SUMMIT DENTAL LLC

Practice address

3225 W Gordon Ave
Suite 4
Layton, UT 84041-8769

Phone

(801) 547-8800

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Michael A Blamires, D.D.S

Title

Owner

Phone

(801) 547-8800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639244387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 W GORDON AVE",
            "address_2": "SUITE 4",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840418769",
            "telephone_number": "801-547-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 W GORDON AVE",
            "address_2": "SUITE 4",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840418769",
            "telephone_number": "801-547-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAMIRES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-547-8800",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "361602-9923",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "309191-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrrelle C Stuntz
• Tomas Suarez
• Amber Sully, LPN
• Daniel Sumko, D.O.
• Robert A.E. Summerfield, M.D.
• Summit Hand Therapy
• Summit Hand Therapy Limited Partnership
• Summit Hand Therapy Limited Partnership
• Summit Hand Therapy Limited Partnership
• Summit Hand Therapy LLC

• General Practice Dentistry in Layton, UT
• Providers in Layton, 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 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.