Wisdom Teeth Now LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WISDOM TEETH NOW LLC

Practice address

5801 S Fashion Blvd Ste 195
Murray, UT 84107-6159

Phone

(801) 983-6802

Fax

(801) 983-6803

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Mark Allen

Title

Owner

Phone

(801) 879-1048

Specialties & licenses 1

Addresses

Other names 1

• Wisdom Teeth Now Doing business as

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1659009348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900421",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840900421",
            "telephone_number": "801-879-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD STE 195",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-983-6802",
            "fax_number": "801-983-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TEETH NOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-879-1048"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Teeth Now",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubrey Winn
• Annette Winter
• Paul E Wirkus, MD
• Douglas J Wirthlin, MD
• J. Ray Wirts, O.D.
• Rachel Wisniewski, OTR/L
• Mira Wiswell
• Michele Witkamp
• Elizabeth Anne Wolfe, O.T.R.
• Emily Rose Wolff

• 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 Aug 10, 2022; 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.