Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kids Town Pediatric Dentistry of Syracuse

Organization Pediatric Dentistry · NPI 1992179964

Kids Town Pediatric Dentistry of Syracuse provides Pediatric Dentistry in Syracuse, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015

Practice location Address checks out

780 S 2000 W Ste #F-2
Syracuse, UT 84075-9602 Not confirmed with CMS for 10 years — call before visiting
Phone: (801) 776-8176
Fax: (801) 774-9085
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6362621-9922 (UT)

Record details

NPI number1992179964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Packham — Member · (801) 217-3359
NPI enumeratedNovember 13, 2015
Last updated in NPPESNovember 13, 2015
Mailing address780 S 2000 W, Suite #F-2, Syracuse, UT 84075-9602

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