PACIFIC WEST DENTAL GROUP NPI 1811269756

NPI Information

PACIFIC WEST DENTAL GROUP is a pediatric dentistry dentist in Syracuse, 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. PACIFIC WEST DENTAL GROUP NPI is 1811269756. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Atlantis Pediatric Dentistry.

The provider's business location address is:

1792 W 1700 S STE 101
SYRACUSE, UT
ZIP 84075-650
Phone: (801) 614-0099
Fax: (801) 776-3661

The provider's authorized official is Cathilyn Self .
The authorized official title is Insurance Coordinator and has the following contact phone number (801) 614-0099.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 1/4/2016.

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:

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