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SLPD HERRIMAN
NPI 1134052939
Dentist - Pediatric Dentistry in Herriman, UT

Active since June 03, 2026
5532 MAIN ST STE 220, HERRIMAN, UT 84096(801) 463-1900 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Slpd Herriman NPPES

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

SLPD HERRIMAN (NPI 1134052939) is a healthcare organization registered as a pediatric dentistry in Herriman, Utah and active in the NPI registry since June 2026. The organization lists David Gustafson, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1134052939
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSLPD HERRIMAN
Location Address5532 MAIN ST STE 220Herriman, UT 84096-5841
Mailing Address5532 Main St Ste 220Herriman, UT 84096-5841
Phone(801) 463-1900
Organization SubpartNo
Authorized OfficialDavid GustafsonDentist/owner · (801) 463-1900
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1134052939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5532 MAIN ST STE 220, Herriman, UT 84096
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is SLPD HERRIMAN's NPI number?

The NPI number assigned to this healthcare provider is 1134052939, enumerated as an "organization" on June 03, 2026.

Where is the provider located?

The provider is located at 5532 MAIN ST STE 220 HERRIMAN, UT 84096 and the phone number is (801) 463-1900.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.