NPIMap

Organization Active NPI

Clinton Dental Group, LLP

Doing business as Clinton Dental Group and Orthodontics

  • General Practice Dentistry
  • Clinton, UT
National Provider Identifier
1912243247
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLINTON DENTAL GROUP, LLP
Doing business as
Clinton Dental Group and Orthodontics
Practice address
1737 North 2000 West
Suite G
Clinton, UT 84015
Phone
(801) 728-9000
Fax
(801) 728-9010
NPI assigned
Dec 13, 2012
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Eric John Swensen
Title
Owner/DDS
Phone
(801) 728-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1737 North 2000 West
Suite G
Clinton, UT 84015

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Clinton Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1737 N 2000 W
Ste G
Clinton, UT 84015
Phone (801) 728-9000

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1912243247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 NORTH 2000 WEST",
            "address_2": "SUITE G",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-728-9000",
            "fax_number": "801-728-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "SWENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "801-728-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.