Holladay Hills Family Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOLLADAY HILLS FAMILY DENTAL P.C.

Practice address

622 E 4500 S Ste 101
Salt Lake City, UT 84107-2922

Phone

(801) 313-1800

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Jason Skinner, DDSNPI 1548319783

Title

Owner

Phone

(801) 971-8884

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason D Skinner, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1548319783
  NPD Authorized official
• Justin Skinner, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1083307359
  NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1740973536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 4500 S STE 100",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174032",
            "telephone_number": "801-971-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 4500 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072922",
            "telephone_number": "801-313-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E 4500 S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841174032",
            "country_code": "US",
            "telephone_number": "801-971-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLADAY HILLS FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-971-8884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Holding
• Teryn A Holeman, PHD MEDICAL STUDENT
• Racheal Ivy Holiday
• Hannah Holik, MD
• Holladay Family Practice
• Holladay Pharmacy
• Clark B. Holladay, LCSW
• Alyssa Holland
• Candice Holland, LCSW
• David Michael Holland

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, 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 16, 2023; 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.