Organization · Type 2 NPI
Out of This World Dentistry PC
Pediatric Dentistry · Draper, UT
NPI number
1558760959
Active
Practice location
112 E 12450 S Ste 100
Draper, UT 84020-8057
Fax (801) 571-4156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 144937 (UT) |
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.
Other pediatric dentistry providers in Draper
About NPI 1558760959
Out of This World Dentistry PC's National Provider Identifier is 1558760959, issued on Aug 21, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Draper, UT. The record was last updated on Aug 21, 2014.