Organization Active NPI

Snow Country Dental Care

  • General Practice Dentistry
  • Park City, UT
National Provider Identifier
1841627460
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SNOW COUNTRY DENTAL CARE
Practice address
1729 Sidewinder Dr Ste 102
Park City, UT 84060-7518
Phone
(435) 649-9492
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Mr. Jr Dethorn
Title
Owner
Phone
(435) 649-9492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1729 Sidewinder Dr Ste 102
Park City, UT 84060-7518

Mailing address

2680 E Bridgeport Ave
Cottonwood Heights, UT 84121-5603
Phone (435) 649-9492

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1841627460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E BRIDGEPORT AVE",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215603",
            "telephone_number": "435-649-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 SIDEWINDER DR STE 102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607518",
            "telephone_number": "435-649-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW COUNTRY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "DETHORN",
        "authorized_official_first_name": "JR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-649-9492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.