MICHEL B. HAYNIE
NPI 1912014234
Dentist - General Practice in Salt Lake City, UT

Q: What is Over The Road Dental's NPI number?

The NPI number for Over The Road Dental is 1912014234. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is also known as Michel B. Haynie.

Q: What is Over The Road Dental's specialty?

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

Active since August 23, 2006

1953 W. CALIFORNIA AVE, SALT LAKE CITY, UT 84104(801) 886-9341(801) 886-1786 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Michel B. Haynie NPPES

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

MICHEL B. HAYNIE (NPI 1912014234) is a healthcare organization registered as a general practice in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists Angie Breeze, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912014234

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameOVER THE ROAD DENTAL

Location Address1953 W. CALIFORNIA AVESalt Lake City, UT 84104

Mailing AddressPo Box 271069Salt Lake City, UT 84127-1069 · (801) 886-9341 · Fax (801) 886-1786

Phone(801) 886-9341

Fax(801) 886-1786

Organization SubpartNo

Authorized OfficialAngie BreezeOffice Manager · (801) 886-9341

Enumeration DateAugust 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912014234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 143681-9922

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.

1953 W. CALIFORNIA AVE, Salt Lake City, UT 84104

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Other Names 1

Other NameMichel B. Haynie

Other Identifiers 1

Medicaid545764459023UT

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Over The Road Dental's NPI number?

The NPI number for Over The Road Dental is 1912014234. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is also known as Michel B. Haynie.

Where is Over The Road Dental located?

Over The Road Dental is located at 1953 W. California Ave, Salt Lake City, UT 84104. The listed phone number is (801) 886-9341.

What is Over The Road Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Over The Road Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.