Dallin Hathaway Thueson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13908631-9923 Issued in UT

Practice address

108 N 1600 W
Mapleton, UT 84664

Phone

(801) 491-6844

Fax

(801) 491-6044

NPI assigned

Apr 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MDG - Mapleton Dental LLC

  • General Practice Dentistry
  • Mapleton, UT
  • NPI 1609556323

  General Practice

  NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1649966623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 1600 W",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846643103",
            "telephone_number": "208-206-8402",
            "fax_number": "801-491-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 1600 W",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "84664",
            "telephone_number": "801-491-6844",
            "fax_number": "801-491-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUESON",
        "first_name": "DALLIN",
        "middle_name": "HATHAWAY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "13908631-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Womens Health and Wellness PLLC
• Keegan Taylor, PT
• Telerad of Ut Account Management LLC
• Brett W Thompson, BC-H.I.S.
• Whitney Hill Thompson, FNP-BC
• Wendy Sue Turnbow, PHD
• Breanna F Upstill, PHARMD
• Utah Mental Health Advocates LLC
• Mary Jill Wall, CMHC
• Kyle Ward, PMHNP-BC

• All providers in Mapleton, UT
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.