Active NPI
Snow Country Dental Care
- General Practice Dentistry
- Park City, UT
National Provider Identifier
1841627460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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
- Christopher Bryant Smith, M.D.
- Joshua Lee Smith, DDS
- Russell Smith, D.M.D
- William Gary Smith, M.D.
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #72)
- Snow Creek Emergency Physicians LLC (Snow Creek Emergency & Medical Center)
- Snow Creek Emergency Physicians LLC (Family Practice @ Snow Creek)
- Solid Mental Health PLLC
- Maelin Sorenson, PA-C
- Sari Ann Soutor Farhart, PH.D.
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.