Organization · Type 2 NPI
Stansbury Park Pediatric Dentistry
Pediatric Dentistry · Stansbury Park, UT
NPI number
1487295218
Active
Practice location
263 Country Clb Ste 102
Stansbury Park, UT 84074-9602
Mailing address
11996 S Anthem Park Blvd Ste 102
Herriman, UT 84096-5643
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.
Another provider at this address
Other pediatric dentistry providers in Stansbury Park
About NPI 1487295218
Stansbury Park Pediatric Dentistry's National Provider Identifier is 1487295218, issued on Oct 2, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stansbury Park, UT. The record was last updated on Oct 2, 2019.