Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Herriman Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1376096966

Herriman Pediatric Dentistry provides Pediatric Dentistry in Herriman, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

11996 S Anthem Park Blvd # 101
Herriman, UT 84096-5643 Not confirmed with CMS for 10 years — call before visiting
Phone: (801) 877-5800
Fax: (801) 907-7266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8858650 (UT)

Record details

NPI number1376096966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Odion — Owner · (801) 877-5800
NPI enumeratedJuly 29, 2016
Last updated in NPPESJuly 29, 2016
Mailing address11996 S Anthem Park Blvd # 101, Herriman, UT 84096-5643

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