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

SOUTHRIDGE PEDIATRIC DENTISTRY

Active Organization

SOUTHRIDGE PEDIATRIC DENTISTRY is a Dentist organization located in SOUTH JORDAN, Utah. NPI 1225249683 is currently active in the NPPES registry. Verify at CMS.

Dentist · SOUTH JORDAN, UT

Registration Details

NPI Number
1225249683
Provider Type
Organization
NPI Issued
May 25, 2007 (19.207639261098 yrs)
Last Updated
Aug 22, 2020
Licenses
5667938 (UT)
343291 (UT)

Practice Information

Address
2651 W. 10400 S. #103
SOUTH JORDAN, UT, 84095
Browse UT providers · Browse ZIP 84095
Phone
8014451515
Fax
8014465290
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Organizations in SOUTH JORDAN, UT

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.