Organization · Type 2 NPI

Out of This World Dentistry CH PC

Pediatric Dentistry · Salt Lake City, UT

NPI number 1881093334 Active

Practice location

7138 S Highland Dr, Suite #216
Salt Lake City, UT 84121-3757

Fax (801) 944-4482

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.

7 other providers at this address

Other pediatric dentistry providers in Salt Lake City

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NPI record

NPI: 1881093334
Entity type: Organization (Type 2)
Issued: Aug 21, 2014
Last updated: Aug 21, 2014
Status: Active
Subpart: Yes of Out of This World Dentistry PC

Other names

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Out of This World Dentistry CH · doing business as

Authorized official

Dannielle Stark
Office Manager
(801) 898-7502

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881093334

Out of This World Dentistry CH PC's National Provider Identifier is 1881093334, issued on Aug 21, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 21, 2014.