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Stansbury Park Pediatric Dentistry
Pediatric Dentist in Stansbury Park, Utah
NPI 1487295218

Stansbury Park Pediatric Dentistry is a Pediatric Dentist based in Herriman, UT and is specialized in Pediatric Dentistry. Stansbury Park Pediatric Dentistry practices in Stansbury Park, UT. The NPI Number for Stansbury Park Pediatric Dentistry is 1487295218 and holds a License No. (Utah).

The current practice location address for Stansbury Park Pediatric Dentistry is 263 Country Clb Ste 102, Stansbury Park, UT and can be reached out via phone at 435-580-8800.

Location: 263 Country Clb Ste 102, Stansbury Park, UT, 84096-5643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487295218
Provider Name
Stansbury Park Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
263 Country Clb Ste 102, Stansbury Park, UT, 84096-5643
Phone Number
435-580-8800
Fax Number
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346761152 01 UT NPI
1811237076 01 UT NPI
1275821415 01 UT NPI
institution
Provider Business Practice Location Address Details
Address
263 Country Clb Ste 102
City
Stansbury Park
State
Utah
Zip
84074-9602
Phone Number
435-580-8800
Fax Number
person
Provider Business Mailing Address Details
Address
263 Country Clb Ste 102
City
Stansbury Park
State
Utah
Zip
84074-9602
Phone Number
435-580-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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