Active NPI
Stobbe Eggett Dental
- Dental Clinic/Center
- Tooele, UT
National Provider Identifier
1861928723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 4923271
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Bountiful Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Bountiful, UT
- NPI 1417484163
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.
-
- General Practice Dentistry
- Tooele, UT
- NPI 1689716045
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.