BLANDING FAMILY DENTAL
NPI 1184054322
Dentist - General Practice in Blanding, UT

Q: What is Utah Navajo Health System, Incorporated's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 26, 2013CLIA 46D1024419 · Accreditation

910 S 300 W, BLANDING, UT 84511(435) 678-2815 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Blanding Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLANDING FAMILY DENTAL (NPI 1184054322) is a healthcare organization registered as a general practice in Blanding, Utah and active in the NPI registry since November 2013. The organization holds an CLIA Accreditation certificate valid through May 25, 2027 and lists Michael Jensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184054322

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameUTAH NAVAJO HEALTH SYSTEM, INCORPORATED

Location Address910 S 300 WBlanding, UT 84511-3833

Mailing AddressPo Box 130Montezuma Creek, UT 84534-0130 · (435) 651-3700

Phone(435) 678-2815

Organization SubpartNo

Authorized OfficialMichael JensenCeo · (435) 651-3713

Enumeration DateNovember 26, 2013

Last NPPES UpdateAugust 2, 2019

✔ NPI 1184054322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

910 S 300 W, Blanding, UT 84511

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Other Names 1

Doing Business AsBlanding Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 46D1024419

Utah Navajo Health System, Inc · Blanding, UT

Active · expires May 25, 2027

CLIA Number46D1024419

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 26, 2025

Certificate Expiration DateMay 25, 2027

Laboratory DirectorDr. Lioyd V. Jones

Laboratory Phone(928) 672-2494

Laboratory LocationUtah Navajo Health System, Inc#2 Rainbow Road, Blanding, UT 84511

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAVERIK NICHOLAS SHUMWAY

Optometrist