The Sugar House Dentist
LBN: Sugar House Dental Management Llc
The Sugar House Dentist is an health care organization with primary practice located at 1955 S 1300 E Ste L2 , Salt Lake City UT 84105-3675. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Managed Care Organizations / Preferred Provider Organization. Dental Providers / General Practice is the primary health care specialty.
Sugar House Dental Management Llc can be contacted via phone (801) 486-9649, or through Theurer, Jared via phone (801) 486-9649.
Contact Information
Primary practice address
1955 S 1300 E Ste L2
Salt Lake City UT 84105-3675
Phone: (801) 486-9649
Fax: (801) 486-9640
Website:
Authorized official contact:
Name: Theurer, Jared Doctor of Dental Surgery (DDS)
Phone: (801) 486-9649
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 9361973 | Utah |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 337770 | Utah |
Profile Details
| NPI number | 1578928172 |
|---|---|
| LBN Legal business name | Sugar House Dental Management Llc |
| DBA Doing business as | The Sugar House Dentist |
| Authorized official | Theurer, Jared Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2015 |
| Last updated | Apr 6th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578928172 | NPPES |
| Utah | Other | 1700897428 | NPI |
| Utah | Other | 1023423258 | NPI |
Popular Providers
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G. George Pearson, Dmd & Craig B. Theurer, Dds, P.C.
1955 S 1300 E L-1, Salt Lake City UT 84105-3638 -
Michael Van Leeuwen Dmd Pc
6936 South 2475 East Suite 201, Salt Lake City UT 84121 -
Jerry B. Black, Dds, Pc
1925 E 5600 S , Salt Lake City UT 84121-1351 -
Liddell Family Dentistry
702 E South Temple Ste 209 , Salt Lake City UT 84102-1795 -
Utah Dental Providers
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Over The Road Dental
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Jason G Barton Dds Inc
928 East 100 South Suite E, Salt Lake City UT 84102 -
Charles C Wall Dds
2200 East 4500 South Suite 240, Salt Lake City UT 84117