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Stansbury Pediatric Dentistry And Orthodontics
Pediatric Dentist in Stansbury Park, Utah
NPI 1679754766

Stansbury Pediatric Dentistry And Orthodontics is a Pediatric Dentist based in Tooele, UT and is specialized in Pediatric Dentistry. Stansbury Pediatric Dentistry And Orthodontics practices in Stansbury Park, UT. The NPI Number for Stansbury Pediatric Dentistry And Orthodontics is 1679754766 and holds a License No. 4753208-9923 (Utah).

The current practice location address for Stansbury Pediatric Dentistry And Orthodontics is 220 Millpond, Stansbury Park, UT and can be reached out via phone at 435-840-1025 and via fax at 435-882-2680.

Location: 220 Millpond, Stansbury Park, UT, 84074-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679754766
Provider Name
Stansbury Pediatric Dentistry And Orthodontics
Credential
Provider Entity Type
Organization
Address
220 Millpond, Stansbury Park, UT, 84074-1249
Phone Number
435-840-1025
Fax Number
435-882-2680
Provider Enumeration Date
11/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
296664784000 05 UT
institution
Provider Business Practice Location Address Details
Address
220 Millpond
City
Stansbury Park
State
Utah
Zip
84074-9745
Phone Number
435-840-1025
Fax Number
435-882-2680
person
Provider Business Mailing Address Details
Address
220 Millpond
City
Stansbury Park
State
Utah
Zip
84074-9745
Phone Number
435-840-1025
Fax Number
435-882-2680
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4753208-9923 (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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