| Salt Lake Pediatric Dentistry | |
|
6151 South Redwood Road Ste. 200 Taylorsville UT 84123-5332 | |
| (801) 441-2144 | |
| (801) 278-0481 |
| Full Name | Salt Lake Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6151 South Redwood Road, Taylorsville, Utah |
| Authorized Official Name and Position | Johanna Eileen Webster (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8014141163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Pediatric Dentistry 6151 South Redwood Road Ste. 200 Taylorsville UT 84123-5332 Ph: (801) 441-2144 | Salt Lake Pediatric Dentistry 6151 South Redwood Road Ste. 200 Taylorsville UT 84123-5332 Ph: (801) 441-2144 |
| NPI Number | 1689333908 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689333908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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