NPIMap

Organization Active NPI

Utah Dental Health Professionals, P.C.

Doing business as Dental Care at The Crossroads

  • General Practice Dentistry
  • Saratoga Springs, UT
National Provider Identifier
1912728098
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UTAH DENTAL HEALTH PROFESSIONALS, P.C.
Doing business as
Dental Care at The Crossroads
Practice address
119 W Crossroads Blvd Ste E
Saratoga Springs, UT 84045-5563
Phone
(385) 374-1104
Fax
(385) 374-1113
NPI assigned
Oct 21, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UTAH DENTAL HEALTH PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Cemyira McDougal
Title
Credentialing Coordinator
Phone
(217) 764-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

119 W Crossroads Blvd Ste E
Saratoga Springs, UT 84045-5563

Mailing address

119 W Crossroads Blvd Ste E
Saratoga Springs, UT 84045-5563
Phone (385) 374-1104

Other names 1

  • Dental Care at The Crossroads Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Utah Dental Health Professionals PC4 organizations share this tax ID, including this one
Part of
Utah Dental Health Professionals PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

119 W Crossroads Blvd
Ste E
Saratoga Springs, UT 84045
Phone (385) 374-1104

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1912728098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W CROSSROADS BLVD STE E",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455563",
            "telephone_number": "385-374-1104",
            "fax_number": "385-374-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W CROSSROADS BLVD STE E",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455563",
            "telephone_number": "385-374-1104",
            "fax_number": "385-374-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH DENTAL HEALTH PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH DENTAL HEALTH PROFESSIONALS, P.C.",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "CEMYIRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-764-8609"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care at The Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.