Crescent Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4449 Issued in UT

Legal business name

CRESCENT DENTAL, INC.

Practice address

5547 So. 4015 W.
Suite 2
Taylorsville, UT 84118-4408

Phone

(801) 957-0130

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shaneen J Wintch

Title

Owner

Phone

(801) 957-0130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902008048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 SO. 4015 W.",
            "address_2": "SUITE 2",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841184408",
            "telephone_number": "801-957-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 SO. 4015 W.",
            "address_2": "SUITE 2",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841184408",
            "telephone_number": "801-957-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTCH",
        "authorized_official_first_name": "SHANEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-957-0130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Crane
• Samuel Crane
• Nathan Craven
• Creative Collaborations Counseling and Consulting
• Stephanie Creekpaum, PSY.D.
• Jennifer Crespo Gonzalez, D.D.S.
• Sam Cress
• Madison Crews
• Zoe Crider
• Jean Cripps

• General Practice Dentistry in Taylorsville, UT
• Providers in Taylorsville, 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.