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

Pacific West Dental Group

Organization Pediatric Dentistry · NPI 1811269756

Pacific West Dental Group provides Pediatric Dentistry in Syracuse, Utah. Licensed in Utah. Registered with an NPI since 2012.

Licensed in
UT
In the registry since
2012

Practice location Address checks out

1792 W 1700 S Ste 101
Syracuse, UT 84075-9650 Not confirmed with CMS for 10 years — call before visiting
Phone: (801) 614-0099
Fax: (801) 776-3661
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4921068 (UT)

Record details

NPI number1811269756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathilyn Self — Insurance Coordinator · (801) 614-0099
Other names Atlantis Pediatric Dentistry
NPI enumeratedFebruary 8, 2012
Last updated in NPPESJanuary 4, 2016
Mailing address1792 W 1700 S Ste 101, Syracuse, UT 84075-9650

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