GRANGER PEDIATRIC DENTISTRY
NPI 1154637825
Clinic/Center - Dental in West Valley City, UT

Q: What is Granger Pediatric Dentistry's NPI number?

The NPI number for Granger Pediatric Dentistry is 1154637825. It was assigned to this organization in the NPPES registry on August 19, 2010.

Q: What is Granger Pediatric Dentistry's specialty?

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

Active since August 19, 2010

GRANGER PEDIATRIC DENTISTRY, 3535 S MARKET STREET SUITE #145, WEST VALLEY CITY, UT 84119(801) 969-8881(801) 969-8889 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Mar 13, 2025, Nov 27, 2019 (3 updates tracked since 2019).

On this page

About Granger Pediatric Dentistry NPPES

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

GRANGER PEDIATRIC DENTISTRY (NPI 1154637825) is a healthcare organization registered as a dental in West Valley City, Utah and active in the NPI registry since August 2010. The organization lists Hans C Petersen, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1154637825

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameGRANGER PEDIATRIC DENTISTRY

Location AddressGRANGER PEDIATRIC DENTISTRY, 3535 S MARKET STREET SUITE #145West Valley City, UT 84119-3637

Mailing AddressGranger Pediatric Dentistry, P.o. Box 18430Salt Lake City, UT 84118-0430 · (801) 969-8881 · Fax (801) 969-8889

Phone(801) 969-8881

Fax(801) 969-8889

Organization SubpartNo

Authorized OfficialHans C PetersenOwner/dentist · (801) 969-8881

Enumeration DateAugust 19, 2010

Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration

✔ NPI 1154637825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in UT · 360305-9923

GRANGER PEDIATRIC DENTISTRY, West Valley City, UT 84119

Open in Google Maps ↗

Other Identifiers 1

Medicaid526155793003UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Granger Pediatric Dentistry's NPI number?

The NPI number for Granger Pediatric Dentistry is 1154637825. It was assigned to this organization in the NPPES registry on August 19, 2010.

Where is Granger Pediatric Dentistry located?

Granger Pediatric Dentistry is located at Granger Pediatric Dentistry 3535 S Market Street Suite #145, West Valley City, UT 84119. The listed phone number is (801) 969-8881.

What is Granger Pediatric Dentistry's specialty?

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

What insurance does Granger Pediatric Dentistry accept?

Health plans from UnitedHealthcare list Granger Pediatric Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Granger Pediatric Dentistry was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.