Sugarhouse Dental Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

4954595 Issued in UT

Legal business name

SUGARHOUSE DENTAL INC

Practice address

620 E 2100 S
Salt Lake City, UT 84106

Phone

(801) 671-6359

NPI assigned

Apr 10, 2018

Organization subpart

Yes

Parent organization

SUGARHOUSE DENTAL INCAs reported in NPPES

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

Authorized official

Name

Dr. Jason Kirkland Graham, DDS

Title

Owner

Phone

(801) 671-6359

Specialties & licenses 1

Addresses

Other names 1

• Sleep Well Utah Doing business as

Practitioners 1

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

• Kirkland Graham, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1598978058
  NPD

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1831696582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061828",
            "telephone_number": "801-671-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84106",
            "telephone_number": "801-671-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARHOUSE DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUGARHOUSE DENTAL INC",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "KIRKLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-671-6359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "UT",
            "license": "4954595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Well Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew S Suever
• Sugar House Care and Rehab, Inc
• Sugar House Dental Care
• Sugar House Dental Management LLC
• Sugarhouse Center Fo Healing
• Sugarhouse Foot Care Inc
• Sugarhouse Vision Clinic
• Steven Gregory Sugden, M.D.
• Lisa Michelle Sugerman-Hermansen, PHD
• Steven Alan Sugerman, PA

• Customized Equipment (DME) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.