WASATCH KIDS PEDIATRIC DENTISTRY LLC NPI 1689333908

NPI Information

WASATCH KIDS PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Taylorsville, 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. WASATCH KIDS PEDIATRIC DENTISTRY, LLC NPI is 1689333908. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Salt Lake Pediatric Dentistry.

The provider's business location address is:

6151 SOUTH REDWOOD ROAD
STE. 200
TAYLORSVILLE, UT
ZIP 84123-332
Phone: (801) 441-2144
Fax: (801) 278-0481

The provider's authorized official is Johanna Eileen Webster .
The authorized official title is Director Of Operations and has the following contact phone number (801) 414-1163.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 11/28/2022.

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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