institution
Wasatch Pediatric Dentistry, Pc
Pediatric Dentist in Providence, Utah
NPI 1487216685

Wasatch Pediatric Dentistry, Pc is a Pediatric Dentist based in North Logan, UT and is specialized in Pediatric Dentistry. Wasatch Pediatric Dentistry, Pc practices in Providence, UT. The NPI Number for Wasatch Pediatric Dentistry, Pc is 1487216685 and holds a License No. (Utah).

The current practice location address for Wasatch Pediatric Dentistry, Pc is 530 W 465 N Ste 703, Providence, UT and can be reached out via phone at 435-999-0234 and via fax at 435-363-9151.

Location: 530 W 465 N Ste 703, Providence, UT, 84341-4705
institution
Provider Profile Details
NPI Number
1487216685
Provider Name
Wasatch Pediatric Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
530 W 465 N Ste 703, Providence, UT, 84341-4705
Phone Number
435-999-0234
Fax Number
435-363-9151
Provider Enumeration Date
07/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457794315 05 UT
institution
Provider Business Practice Location Address Details
Address
530 W 465 N Ste 703
City
State
Zip
84332-8006
Phone Number
435-999-0234
Fax Number
435-363-9151
person
Provider Business Mailing Address Details
Address
530 W 465 N Ste 703
City
State
Zip
84332-8006
Phone Number
435-999-0234
Fax Number
435-363-9151
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
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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