Cozy Cabin Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COZY CABIN DENTAL, LLC

Practice address

3755 W 7800 S
West Jordan, UT 84088-8408

Phone

(801) 871-5820

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Linsey Delisle

Title

Owner Manager

Phone

(801) 349-6566

Specialties & licenses 1

Addresses

Other names 1

• Community Dental Services Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

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

• Santiago Martin Gardois, DDS

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1336494780
  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1881236701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 S 3340 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243150",
            "telephone_number": "801-349-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888408",
            "telephone_number": "801-871-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZY CABIN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "DELISLE",
        "authorized_official_first_name": "LINSEY",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "801-349-6566"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Care@cozycabindental.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "3755 W 7800 S",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840888408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Dental Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James N Cowart, LPC
• Alana Elizabeth Cowgill
• London Cowley
• James S Coy, DO
• Reyman Thomas Cozad, DDS
• Chloe Cozzens
• Charles Rhett Cragun, LCSW
• Creek Capital Jordan Ridge LLC
• Creek Capital Oquirrh Park LLC
• Joseph Criswell

• All providers in West Jordan, UT
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.