Dr Kipton Jay Norris, DMD in Syracuse, UT - Medicare Dentist Provider

Dr Kipton Jay Norris, DMD is a medicare enrolled "Dentist - General Practice" provider in Syracuse, Utah. His current practice location is 1747 S. Heritage Ln, Suite B-201, Syracuse, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 776-2461.

Dr Kipton Jay Norris is licensed to practice in Utah (license number 5324384) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164431177.

Contact Information

	Dr Kipton Jay Norris, DMD
	1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075
	(801) 776-2461
	(801) 776-2469

Healthcare Provider's Profile

Full Name	Dr Kipton Jay Norris
Gender	Male
Speciality	Dentist - General Practice
Location	1747 S. Heritage Ln, Syracuse, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164431177
Provider Enumeration Date: 08/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4981916608
Enrollment ID: I20150708002026

Medical Identifiers

Medical identifiers for Dr Kipton Jay Norris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164431177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	5324384 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kipton Jay Norris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kipton Jay Norris, DMD 1693 W. 2175 S., Syracuse, UT 84075 Ph: (801) 773-3060	Dr Kipton Jay Norris, DMD 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 Ph: (801) 776-2461

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Dentist in Syracuse, UT

Shad T Ingram, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W, F 1, Syracuse, UT 84075 Phone: 801-776-3000 Fax: 801-825-7700
Dr. Michael L. Gailey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1747 Heritage Ln, Suite B201, Syracuse, UT 84075 Phone: 801-776-2461 Fax: 801-776-2469
Dr. Brett R Coleman, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W, Bldg E304, Syracuse, UT 84075 Phone: 801-614-9090 Fax: 801-614-9091
Dr. Tate Austin Trujillo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W Ste F2, Syracuse, UT 84075 Phone: 801-217-3359
Dr. Jeffrey Val Hansen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1747 Heritage Ln Ste B203, Syracuse, UT 84075 Phone: 801-525-1725 Fax: 801-525-0988
Dr. Casey B Brewer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1792 W 1700 S Ste 101, Syracuse, UT 84075 Phone: 801-614-0099

Dr Kipton Jay Norris, DMD - Medicare Dentist in Syracuse, UT