| Little People's Dental | |
|
1268 W South Jordan Pkwy Suite 101 South Jordan UT 84095-4652 | |
| (801) 446-8007 | |
| (801) 676-1030 |
| Full Name | Little People's Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1268 W South Jordan Pkwy, South Jordan, Utah |
| Authorized Official Name and Position | David M.s. Stewart (OWNER) |
| Authorized Official Contact | 8014468007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little People's Dental 1268 W South Jordan Pkwy Suite 101 South Jordan UT 84095-4652 Ph: (801) 446-8007 | Little People's Dental 1268 W South Jordan Pkwy Suite 101 South Jordan UT 84095-4652 Ph: (801) 446-8007 |
| NPI Number | 1215213905 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215213905 | NPI | - | NPPES |
| 529537623024 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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