Organization · Type 2 NPI
Wasatch Pediatric Dentistry, PC
Pediatric Dentistry · Providence, UT
NPI number
1487216685
Active
Practice location
530 W 465 N Ste 703
Providence, UT 84332-8006
Fax (435) 363-9151
Mailing address
1765 E 2450 N
North Logan, UT 84341-4705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: 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.
2 other providers at this address
Other pediatric dentistry providers in Providence
About NPI 1487216685
Wasatch Pediatric Dentistry, PC's National Provider Identifier is 1487216685, issued on Jul 8, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Providence, UT. The record was last updated on Feb 5, 2024.