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FRESH START DENTAL CENTER NPI 1861715005


NPI Information

NPI: 1861715005
Provider Name: FRESH START DENTAL CENTER
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
6287 S REDWOOD RD
TAYLORSVILLE, UT
ZIP 84123
Phone: (801) 313-1144
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FRESH START DENTAL CENTER is an exclusive provider organization in Taylorsville, UT. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. FRESH START DENTAL CENTER NPI is 1861715005. The provider is registered as an organization entity type.

The provider's business location address is:

6287 S REDWOOD RD
TAYLORSVILLE, UT
ZIP 84123-634
Phone: (801) 313-1144
Fax: (801) 313-1141

The provider's authorized official is Roger Whitehouse .
The authorized official title is Ceo and has the following contact phone number (801) 598-3333.

The enumeration date for this NPI number is 3/2/2010 and was last updated on 3/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302F00000XExclusive Provider Organization12752998-002UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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