Orchard Drive Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ORCHARD DRIVE PEDIATRIC DENTISTRY

Practice address

3377 Orchard Dr
Bountiful, UT 84010-8005

Phone

(801) 951-8038

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Marci Nicol

Title

VP of Operations

Phone

(801) 918-4135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1770904674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108005",
            "telephone_number": "801-951-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108005",
            "telephone_number": "801-951-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD DRIVE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "801-918-4135"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Merlin Olsen, D.C.
• Gregory G. Oman, DDS
• Eveline Rita Onkels, DC
• Michael J Onkels, D.C
• Optimal Family Medicine, PLLC
• Duane K Orchard, DDS
• Devin Jay Orvin, D.D.S.
• Samantha Oslund
• David B Osteyee
• Outdoor Talk LLC

• Dental Clinic/Center in Bountiful, UT
• Providers in Bountiful, 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 Dec 18, 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.