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

Redwood Periodontics, LLC

Organization Periodontics · NPI 1558487827

Redwood Periodontics, LLC provides Periodontics in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6287 S Redwood Rd Ste 102
Salt Lake City, UT 84123-6653 Not confirmed with CMS for 18 years — call before visiting
Phone: (801) 293-8833
Fax: (801) 293-8844
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 56827969922 (UT)

Record details

NPI number1558487827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Manwaring — Owner · (801) 293-8833
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 23, 2008
Mailing address6287 S Redwood Rd Ste 102, Salt Lake City, UT 84123-6653

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