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PEDIATRIC SMILES PLLC NPI 1366711087


NPI Information

NPI: 1366711087
Provider Name: PEDIATRIC SMILES PLLC

Doing Business As: PEDIATRIC SMILES OF OREM

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
167 N 400 W
SUITE A-4
OREM, UT
ZIP 84057
Phone: (801) 224-0861
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PEDIATRIC SMILES PLLC is a pediatric dentistry dentist in Orem, 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. PEDIATRIC SMILES PLLC NPI is 1366711087. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Smiles Of Orem.

The provider's business location address is:

167 N 400 W
SUITE A-4
OREM, UT
ZIP 84057-909
Phone: (801) 224-0861
Fax: (801) 804-5899

The provider's authorized official is Adam Nicholas Shepherd .
The authorized official title is Owner/member and has the following contact phone number 18012240861.

The enumeration date for this NPI number is 12/27/2011 and was last updated on 12/27/2011.


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
11223P0221XDentistPediatric Dentistry8012319UTAHYes

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: 4/28/2024

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