OUT OF THIS WORLD DENTISTRY WJ PC NPI 1336548841

NPI Information

OUT OF THIS WORLD DENTISTRY WJ PC is a pediatric dentistry dentist in West Jordan, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. OUT OF THIS WORLD DENTISTRY WJ PC NPI is 1336548841. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Out Of This World Dentistry Wj.

The provider's business location address is:

6787 S REDWOOD RD
SUITE #100
WEST JORDAN, UT
ZIP 84084-404
Phone: (801) 542-7009
Fax: (801) 748-0920

The provider's authorized official is Dannielle Stark .
The authorized official title is Office Manager and has the following contact phone number (801) 898-7502.

The enumeration date for this NPI number is 8/20/2014 and was last updated on 8/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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