Riverside Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5929127-9923 Issued in UT

Legal business name

RIVERSIDE DENTAL LLC

Practice address

368 E Riverside Dr
BLDG #2
St George, UT 84790-6896

Phone

(435) 673-3363

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By 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. David R Stevens, DDSNPI 1477688232

Title

Manager

Phone

(435) 673-3363

Specialties & licenses 1

Addresses

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.

• David R Stevens, DDS

  • Dentist
  • St George, UT
  • NPI 1477688232
  Authorized official Same address or phone

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1972740249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR",
            "address_2": "BLDG #2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906896",
            "telephone_number": "435-673-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR",
            "address_2": "BLDG #2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906896",
            "telephone_number": "435-673-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-673-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "5929127-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin W Risenmay, M.D.
• Norman C Ritchie Jr., MD
• Alexander Gorge Rivas
• Alexis Rivera
• Riverside Dental Care PC
• Riverside Rehabilitation LLC
• Riverwalk Therapy, PLLC
• Jenna M Robbins, BEHAVIOR TECHNICIAN
• Sebastien Robbins
• Taylor Lynn Robbins, M.A., CCC-SLP

• Dental Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.