HERRIMAN PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Herriman, 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. HERRIMAN PEDIATRIC DENTISTRY NPI is 1376096966. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
11996 S ANTHEM PARK BLVD # 101
HERRIMAN, UT
ZIP 84096-643
Phone: (801) 877-5800
Fax: (801) 907-7266
The provider's authorized official is Charles Odion .
The authorized official title is Owner and has the following contact phone number (801) 877-5800.
The CLIA number assigned to this NPI record is 46D2269250 - other - free standing er stat lab with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/29/2016.