Sevier Valley Dental

Primary specialty

DentistTaxonomy code 122300000X

License

322871-9923 Issued in UT

Legal business name

SEVIER VALLEY DENTAL

Doing business as

Forever Young Dental

Practice address

46 W 100 N
Richfield, UT 84701-2530

Phone

(435) 893-2190

Fax

(435) 893-2191

NPI assigned

Aug 18, 2016

Last updated

Aug 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Paul Lee, DDS

Title

Dentist/Owner

Phone

(435) 893-2190

Specialties & licenses 1

Addresses

Other names 1

• Forever Young Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Lee, D.D.S

  • General Practice Dentistry
  • Richfield, UT
  • NPI 1598459554
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1750836839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 W 100 N",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012530",
            "telephone_number": "435-893-2190",
            "fax_number": "435-893-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W 100 N",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012530",
            "telephone_number": "435-893-2190",
            "fax_number": "435-893-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVIER VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "435-893-2190",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "322871-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Young Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelise Nicole Sawyer, CSW
• Brett Alan Seely, PA-C
• Sevier School District
• Sevier School District
• Sevier Valley Anesthesia Group, LLP
• Sevier Valley Hyperbarics
• Sevier Valley Sport and Spine PLLC
• Maranda Shaw
• Bobbette Sprague Shepard, LCSW
• Kerry W Shepherd

• Dentist in Richfield, UT
• Providers in Richfield, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.