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

South Hills Pediatric Dental Specialists, LLC

Organization Pediatric Dentistry · NPI 1730714783

South Hills Pediatric Dental Specialists, LLC provides Pediatric Dentistry in Riverton, Utah. Registered with an NPI since 2020.

In the registry since
2020
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

4013 W 13400 S
Riverton, UT 84096-6410
Phone: (385) 210-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1730714783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Jacobsen — Owner · (801) 589-3150
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address4013 W 13400 S, Riverton, UT 84096-6410

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