Hyde Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1433829922 Issued in UT

Legal business name

HYDE PARK DENTAL

Practice address

3125 N Main St
Suite 104
North Logan, UT 84341-1547

Phone

(435) 787-4444

Fax

(435) 787-0044

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By 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

Dr. Monte Lamarr Carlson, D.D.S.

Title

Owner

Phone

(435) 787-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Bradley Pope Bills, D.D.S., P.C.

  • General Practice Dentistry
  • North Logan, UT
  • NPI 1245347046
  NPD (past)
• Bryan Neal Porter, D.D.S.

  • Dentist
  • North Logan, UT
  • NPI 1376773481
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1922440031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411547",
            "telephone_number": "435-787-4444",
            "fax_number": "435-787-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411547",
            "telephone_number": "435-787-4444",
            "fax_number": "435-787-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "LAMARR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-787-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "1433829922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Hoth, PT
• Falene Alice Hough, OMT
• Kelly W Hubbard, M.D.
• Glen Forrest Huff, M.D.
• Lindsay Dawn Humes, PHYSICIAN ASSISTANT
• Wesley Hyde
• Dana Marie Jackson, LCSW
• Tim Leroy Jensen, MOTR/L
• Melissa D Jex
• Karson B. Johnson, D.C.

• General Practice Dentistry in North Logan, UT
• Providers in North Logan, 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 Jul 18, 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.