OrganizationActive
Stansbury Park Orthodontics
NPI 1528385085 · Orthodontics and Dentofacial Orthopedics Dentistry · Stansbury Park, UT
Provider details
- NPI number
- 1528385085
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Elison, President(435) 579-3800
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
263 Country Club
Ste. 104
Stansbury Park, UT 84074
Phone: (435) 579-3800
Fax: (435) 579-3590
Approximate (ZIP-level) locationGet directions
Mailing address
263 Country Club
Stansbury Park, UT 84074
Registry dates
- Enumerated
- 2010-04-23
- Last updated
- 2010-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.