Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245855410 Individual Practitioner Male Practitioner

Dr. Kevin Matthew Farley , DMD

Dentist • Payson, UT

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Farley, DMD is a registered healthcare professional specializing in Dentist in Payson, UT. Practice services are available at 805 S 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

805 S 500 W

Payson, UT 846513203

Telephone 8015926067
Associated Practice Facility / Clinic
🏢 Payson Family Therapy Facility NPI 1275253189

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Payson, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Payson, UT (758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License UT 11739476-9923

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 11739476

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Cecilia Trujillo , MSWI

Social Worker - Clinical

NPI 1114647948
Dorothy Simister , LCSW

Social Worker - Clinical

NPI 1205436383

Licensed Clinical Social Worker

Dr. John Farley , DDS

Dentist - General Practice

NPI 1386867455

Doctor of Dental Surgery

Derek Wolfgramm

Social Worker - Clinical

NPI 1558050781

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 13, 2024

Registered at 805 S 500 W, PAYSON, UT 846513203 (Tel: 8015926067)

📍
Updated Business Mailing Address May 13, 2024

Registered at 805 S 500 W STE 10, PAYSON, UT 846513229 (Tel: 8015926067)

📍
Updated Business Mailing Address March 28, 2023

Registered at 2240 WINROW RD, FORT HUACHUCA, AZ 856135080

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2023

Dentist (License #11739476-9923 in UT)

📍
Updated Practice Location August 10, 2020

Registered at 2240 E. WINROW AVE, FORT HUACHUCA, AZ 85613 (Tel: 8015926067)

📍
Updated Business Mailing Address August 10, 2020

Registered at 2240 E. WINROW AVE, FORT HUACHUCA, AZ 85613

NPI Profile Active June 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2020

Registered at 805 S 500 W, PAYSON, UT 846513203 (Tel: 8015926067)

📍
Updated Business Mailing Address June 12, 2020

Registered at 805 S 500 W, PAYSON, UT 846513203 (Tel: 8015926067)

👤
Provider Name / Credentials Updated June 12, 2020

Recorded as KEVIN FARLEY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Dentist (License #11739476 in UT)

🟢
Initial NPI Registration & Enumeration June 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245855410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2020
Last Update: May 13, 2024
Sole Proprietor: No

Mailing Address

805 S 500 W Ste 10

Payson, UT 846513229

Phone: 8015926067

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.