Organization · Type 2 NPI

Ut Specialty Dental Services, PLLC

Pediatric Dentistry · Spanish Fork, UT

NPI number 1932967536 Active

Practice location

971 N. SR-51
Spanish Fork, UT 84660

Call (804) 504-6162 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

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.

Other pediatric dentistry providers in Spanish Fork

Ut Specialty Dental Services, PLLCPediatric Dentistry Spanish Fork, UT NPI 1851158794

See all in Spanish Fork →

NPI record

NPI: 1932967536
Entity type: Organization (Type 2)
Issued: Mar 8, 2024
Last updated: Mar 8, 2024
Status: Active
Subpart: Yes of Ut Specialty Dental Services, PLLC

Other names

Smart Pediatric Dentistry · doing business as

Authorized official

Charlotte V Dasch
Director of Cred and PR
(504) 638-0303

Verify this record

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 1932967536

Ut Specialty Dental Services, PLLC's National Provider Identifier is 1932967536, issued on Mar 8, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Spanish Fork, UT. The record was last updated on Mar 8, 2024.