South Ogden Pediatric Dental PC
South Ogden Pediatric Dental PC provides Pediatric Dentistry in Washington Terrace, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5275 S Adams Ave Ste CWashington Terrace, UT 84405 Not confirmed with CMS for 15 years — call before visiting
Phone: (801) 475-6433
Fax: (801) 334-8411
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 5118697-9923 (UT) |
|---|
Record details
| NPI number | 1104834191 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | M. Rallison — Owner · (801) 475-6433 |
| NPI enumerated | August 4, 2006 |
| Last updated in NPPES | June 21, 2011 |
| Mailing address | 5275 S. Adams Ave., Suite C Suite #4, Washington Terrace, UT 84405 |