SOUTHRIDGE DENTISTRY
NPI 1073177648
Clinic/Center - Dental in Riverton, UT

Active since April 29, 2019
3723 W 12600 S STE 430, RIVERTON, UT 84065(801) 285-4200 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southridge Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHRIDGE DENTISTRY (NPI 1073177648) is a healthcare organization registered as a dental in Riverton, Utah and active in the NPI registry since April 2019. The organization lists Seth Glickman, Intmn Medical Group Pres/cmo Cbc, as its authorized official.

NPPES Registry Identity

NPI1073177648
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address3723 W 12600 S STE 430Riverton, UT 84065-7310
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 285-4200
Organization SubpartNo
Authorized OfficialSeth GlickmanIntmn Medical Group Pres/cmo Cbc · (801) 442-2905
Enumeration DateApril 29, 2019
NPI 1073177648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3723 W 12600 S STE 430, Riverton, UT 84065

Other Names 1

Doing Business AsSouthridge Dentistry

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3723 W 12600 S STE 430
RIVERTON, UT 84065
Physician Assistant
3723 W 12600 S STE 430
RIVERTON, UT 84065
Ophthalmology
3723 W 12600 S STE 430
RIVERTON, UT 84065
Nurse Practitioner
3723 W 12600 S STE 430
RIVERTON, UT 84065
Nurse Practitioner (Family)
3723 W 12600 S STE 430
RIVERTON, UT 84065
Family Medicine
3723 W 12600 S STE 430
RIVERTON, UT 84065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1073177648. It was assigned to this organization in the NPPES registry on April 29, 2019. The provider is doing business as Southridge Dentistry.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 3723 W 12600 S Ste 430, Riverton, UT 84065. The listed phone number is (801) 285-4200.

What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on April 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.