Organization · Type 2 NPI

Stansbury Pediatric Dentistry and Orthodontics

Pediatric Dentistry · Stansbury Park, UT

NPI number 1679754766 Active

Practice location

220 Millpond, Suite #106
Stansbury Park, UT 84074-9745

Fax (435) 882-2680

Mailing address

PO Box 1249
Tooele, UT 84074-1249

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4753208-9923 (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.

10 other providers at this address

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About NPI 1679754766

Stansbury Pediatric Dentistry and Orthodontics's National Provider Identifier is 1679754766, issued on Nov 17, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stansbury Park, UT. The record was last updated on Nov 17, 2007.