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Herriman Pediatric Dentistry
Pediatric Dentist in Herriman, Utah
NPI 1376096966

Herriman Pediatric Dentistry is a Pediatric Dentist based in Herriman, UT and is specialized in Pediatric Dentistry. Herriman Pediatric Dentistry practices in Herriman, UT. The NPI Number for Herriman Pediatric Dentistry is 1376096966 and holds a License No. 8858650 (Utah).

The current practice location address for Herriman Pediatric Dentistry is 11996 S Anthem Park Blvd # 101, Herriman, UT and can be reached out via phone at 801-877-5800 and via fax at 801-907-7266.

Location: 11996 S Anthem Park Blvd # 101, Herriman, UT, 84096-5643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376096966
Provider Name
Herriman Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
11996 S Anthem Park Blvd # 101, Herriman, UT, 84096-5643
Phone Number
801-877-5800
Fax Number
801-907-7266
Provider Enumeration Date
07/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
556752017001 05 UT
institution
Provider Business Practice Location Address Details
Address
11996 S Anthem Park Blvd # 101
City
Herriman
State
Utah
Zip
84096-5643
Phone Number
801-877-5800
Fax Number
801-907-7266
person
Provider Business Mailing Address Details
Address
11996 S Anthem Park Blvd # 101
City
Herriman
State
Utah
Zip
84096-5643
Phone Number
801-877-5800
Fax Number
801-907-7266
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
8858650 (Utah)
Definition
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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