Grandpas Dental Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRANDPAS DENTAL CENTER LLC

Practice address

294 W 800 N
Orem, UT 84057-3858

Phone

(801) 374-5200

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Marcelo Abatti

Title

Member

Phone

(801) 374-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1760819924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573858",
            "telephone_number": "801-374-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573858",
            "telephone_number": "801-374-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPAS DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "ABATTI",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-374-5200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Goss
• Teetad Govitviwat
• Gracehouse Healing Centers Utah County
• Brian G Graf, DMD
• Raelynne Graham
• Nicole Grange
• Heath Dean Granley, PHD
• Mackenzie Grant
• Meagan Grasley
• Pamela Grass

• Dental Clinic/Center in Orem, UT
• Providers in Orem, 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 Oct 2, 2013; 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.