KIDS CREEK PED. DENTISTRY NPI 1821521485

NPI Information

KIDS CREEK PED. DENTISTRY 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. KIDS CREEK PED. DENTISTRY NPI is 1821521485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2964 W 4700 S STE 103
TAYLORSVILLE, UT
ZIP 84129-558
Phone: (801) 417-8080

The provider's authorized official is Samuel B Bailey .
The authorized official title is Owner and has the following contact phone number (801) 417-8080.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.

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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