Organization Active NPI

Stobbe Eggett Dental

  • Dental Clinic/Center
  • Tooele, UT
National Provider Identifier
1861928723
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4923271 Issued in UT
Legal business name
STOBBE EGGETT DENTAL
Doing business as
Little Mountain Dental
Practice address
394 S Main St
Tooele, UT 84074-2746
Phone
(435) 882-2331
Fax
(435) 882-2334
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Kathy J Cox
Title
Office Manager
Phone
(435) 882-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4923271 UT Primary

Addresses

Primary practice location

394 S Main St
Tooele, UT 84074-2746

Mailing address

394 S Main St
Tooele, UT 84074-2746
Phone (435) 882-2331

Other names 1

  • Little Mountain Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bountiful Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

394 S Main St
Tooele, UT 84074
Phone (435) 833-9200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1861928723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742746",
            "telephone_number": "435-882-2331",
            "fax_number": "435-882-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742746",
            "telephone_number": "435-882-2331",
            "fax_number": "435-882-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOBBE EGGETT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-882-2331"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "4923271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.