Spring Creek Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

144024-9922 Issued in UT

Legal business name

SPRING CREEK DENTAL ASSOCIATES, LLC

Practice address

274 N Spring Creek Pkwy
Providence, UT 84332-9775

Phone

(435) 713-0096

Fax

(435) 713-7090

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Mackley

Title

Owner

Phone

(801) 786-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1831541341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N SPRING CREEK PKWY",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329775",
            "telephone_number": "435-713-0096",
            "fax_number": "435-713-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 N SPRING CREEK PKWY",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329775",
            "telephone_number": "435-713-0096",
            "fax_number": "435-713-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "MACKLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-786-0500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144024-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Smith, O.D.
• Evan Smith
• Katie Snow
• South Valley Eyecare Center, Inc.
• South Valley Pharmacy
• Spring Creek Surgical Center, LLC
• Springcreek Medical Center PC
• Jonathan Patrick Sprouse
• Seneca Stagg, RBT
• Sterling Recovery

• General Practice Dentistry in Providence, UT
• Providers in Providence, 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 Jul 8, 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.