Stonehaven Dental - Midvale, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STONEHAVEN DENTAL - MIDVALE, LLC

Practice address

7681 S 700 E
Midvale, UT 84047-2350

Phone

(385) 385-5570

Fax

(385) 385-3511

NPI assigned

Jan 14, 2017

Organization subpart

No

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

Authorized official

Name

Stephen James

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1720524747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7681 S 700 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472350",
            "telephone_number": "385-557-0088",
            "fax_number": "385-351-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7681 S 700 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472350",
            "telephone_number": "385-385-5570",
            "fax_number": "385-385-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN DENTAL - MIDVALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Stephany
• Kirk Ronald Stephens, PA-C
• Hailee Stewart
• Debra Lynn Stone, ACNP-BC
• Rosalie Stone, OT
• Emily Stowe
• Robert Kenneth Strachan, PH.D.05/23/1944
• June Strong
• Smoki Suckla
• Keegan Summers

• General Practice Dentistry in Midvale, UT
• Providers in Midvale, 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 Jan 17, 2017; 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.