Organization · Type 2 NPI

Ut Bcdo Specialty Dental Services, PLLC

Pediatric Dentistry · West Jordan, UT

NPI number 1669065470 Active

Practice location

6973 S 4800 W Ste C
West Jordan, UT 84084-7927

Mailing address

401 Church St Ste 1400
Nashville, TN 37219-2214

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Pathology Dentistry 1223P0106XNone listed
Pediatric Dentistry Primary 1223P0221XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone 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.

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About NPI 1669065470

Ut Bcdo Specialty Dental Services, PLLC's National Provider Identifier is 1669065470, issued on Feb 12, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in West Jordan, UT. The record was last updated on Feb 12, 2021.