PEDIATRIC DENTAL & ORTHODONTICS PC
NPI 1184706491
Dentist - Pediatric Dentistry in Roy, UT

Q: What is Pediatric Dental & Orthodontics PC's NPI number?

The NPI number for Pediatric Dental & Orthodontics PC is 1184706491. It was assigned to this organization in the NPPES registry on October 19, 2006.

Q: What is Pediatric Dental & Orthodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since October 19, 2006

3485 W 4800 S, ROY, UT 84067(801) 774-5437(801) 774-9440 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Dental & Orthodontics Pc NPPES

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

PEDIATRIC DENTAL & ORTHODONTICS PC (NPI 1184706491) is a healthcare organization registered as a pediatric dentistry in Roy, Utah and active in the NPI registry since October 2006. The organization lists John R. Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184706491

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL & ORTHODONTICS PC

Location Address3485 W 4800 SRoy, UT 84067-9429

Mailing Address3485 W 4800 SRoy, UT 84067-9429 · (801) 774-5437 · Fax (801) 774-9440

Phone(801) 774-5437

Fax(801) 774-9440

Organization SubpartNo

Authorized OfficialJohn R. AndersonOwner · (801) 540-5081

Enumeration DateOctober 19, 2006

Last NPPES UpdateDecember 20, 2007

✔ NPI 1184706491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in UT · 341292

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.

3485 W 4800 S, Roy, UT 84067

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Other Identifiers 1

Medicaid528537398001UT

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

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 Pediatric Dental & Orthodontics PC's NPI number?

The NPI number for Pediatric Dental & Orthodontics PC is 1184706491. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Pediatric Dental & Orthodontics PC located?

Pediatric Dental & Orthodontics PC is located at 3485 W 4800 S, Roy, UT 84067. The listed phone number is (801) 774-5437.

What is Pediatric Dental & Orthodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Dental & Orthodontics PC accept?

Health plans from UnitedHealthcare list Pediatric Dental & Orthodontics PC 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 Pediatric Dental & Orthodontics PC was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.