Fresh Start Dental Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

12752998-002 Issued in UT

Legal business name

FRESH START DENTAL CENTER

Practice address

6287 S Redwood Rd
Taylorsville, UT 84123-6634

Phone

(801) 313-1144

Fax

(801) 313-1141

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Roger Whitehouse

Title

Ceo

Phone

(801) 598-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1861715005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236634",
            "telephone_number": "801-313-1144",
            "fax_number": "801-313-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236634",
            "telephone_number": "801-313-1144",
            "fax_number": "801-313-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "WHITEHOUSE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-598-3333"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "UT",
            "license": "12752998-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Fredrich
• Alyssa Freebairn
• Jessica Freeman
• George Alan Freer, D.D.S.
• Kyndal Freeze
• Kelli A Freund-Begley, APRN
• Danielle Frischknecht
• Adrienne Fritzler
• Frontier Leasing Limited Partnership
• Erin Frushon

• Exclusive Provider Organization in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Exclusive Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.