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SMALL SMILES DENTAL LLC NPI 1134662752


NPI Information

NPI: 1134662752
Provider Name: SMALL SMILES DENTAL, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6087 S REDWOOD RD STE C
TAYLORSVILLE, UT
ZIP 84123
Phone: (801) 870-0625
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SMALL SMILES DENTAL, 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. SMALL SMILES DENTAL, LLC NPI is 1134662752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6087 S REDWOOD RD STE C
TAYLORSVILLE, UT
ZIP 84123-854
Phone: (801) 870-0625
Fax: (801) 285-9170

The provider's authorized official is Jason D Casto .
The authorized official title is Member and has the following contact phone number (801) 870-0625.

The enumeration date for this NPI number is 11/30/2016 and was last updated on 11/30/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.