Delta Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

267126 Issued in UT

Legal business name

DELTA FAMILY DENTISTRY

Practice address

372 W Main St
Delta, UT 84624-9221

Phone

(435) 864-2120

Fax

(435) 864-4085

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leann W Church

Title

Office Manager

Phone

(435) 864-2120

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott C Stucki, DMD

  • General Practice Dentistry
  • Delta, UT
  • NPI 1144656323
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891910972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 W MAIN ST",
            "address_2": "P.O. BOX 695",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249221",
            "telephone_number": "435-864-2120",
            "fax_number": "435-864-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W MAIN ST",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249221",
            "telephone_number": "435-864-2120",
            "fax_number": "435-864-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-864-2120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "267126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "166630",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870521915ST1",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528067372008",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52806737201001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "94276",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Arjaan Dekker, D.O.
• Dennis Allen Deloach, DDS
• Dennis Dallin Deloach, DMD
• Delta Chiropractic Center
• Delta Drug & Gift LLC (Delta Drug)
• Delta Family Medicine P.C.
• Delta Physical Therapy and Sports
• Delta Valley Home Health LLC (Delta Valley Home Health)
• Diamond D Inn
• Larry E Dixon, L.S.A.C.

• General Practice Dentistry in Delta, UT
• Providers in Delta, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.