| North Davis Pediatric Dentistry Llc | |
|
1792 W 1700 S Ste 101 Syracuse UT 84075-9650 | |
| (801) 919-8880 | |
| Not Available |
| Full Name | North Davis Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1792 W 1700 S Ste 101, Syracuse, Utah |
| Authorized Official Name and Position | Jason Horgesheimer (OWNER) |
| Authorized Official Contact | 8019198880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Davis Pediatric Dentistry Llc 1792 W 1700 S Ste 101 Syracuse UT 84075-9650 Ph: () - | North Davis Pediatric Dentistry Llc 1792 W 1700 S Ste 101 Syracuse UT 84075-9650 Ph: (801) 919-8880 |
| NPI Number | 1619764099 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619764099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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