| Wasatch Pediatrics - Southpoint Dental | |
|
9071 S 1300 W Ste 100 West Jordan UT 84088-6673 | |
| (801) 453-9625 | |
| (801) 944-7347 |
| Full Name | Wasatch Pediatrics - Southpoint Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9071 S 1300 W Ste 100, West Jordan, Utah |
| Authorized Official Name and Position | Alyshia Rice (PROVIDER RELATIONS) |
| Authorized Official Contact | 8014539625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Pediatrics - Southpoint Dental 9071 S 1300 W Ste 205 West Jordan UT 84088-6725 Ph: (801) 453-9625 | Wasatch Pediatrics - Southpoint Dental 9071 S 1300 W Ste 100 West Jordan UT 84088-6673 Ph: (801) 453-9625 |
| NPI Number | 1841169224 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 11/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841169224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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