PEDIATRIC SMILES PLLC NPI 1366711087

NPI Information

  • NPI: 1366711087
  • Provider Name: PEDIATRIC SMILES PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC SMILES OF OREM
  • Address: 167 N 400 W
    SUITE A-4
    OREM, UT
    ZIP 84057
  • Phone: (801) 224-0861

Map and Directions

Get Directions

NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

NPI Synchronization or Removal

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.