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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH OGDEN PEDIATRIC DENTAL P.C.

Active Organization

SOUTH OGDEN PEDIATRIC DENTAL P.C. is a Pediatric Dentistry organization located in WASHINGTON TERRACE, Utah. NPI 1104834191 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · WASHINGTON TERRACE, UT

Registration Details

NPI Number
1104834191
Provider Type
Organization
NPI Issued
Aug 4, 2006 (20.056056742063 yrs)
Last Updated
Jun 21, 2011
License
5118697-9923 (UT)

Practice Information

Address
5275 S. ADAMS AVE.,
SUITE C
WASHINGTON TERRACE, UT, 84405
Browse UT providers · Browse ZIP 84405
Phone
8014756433
Fax
8013348411
Primary Specialty
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.