SOUTHRIDGE PEDIATRIC DENTISTRY
NPI 1225249683
Dentist in South Jordan, UT

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

The NPI number for Southridge Pediatric Dentistry is 1225249683. It was assigned to this organization in the NPPES registry on May 25, 2007.

Q: What is Southridge Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 25, 2007

2651 W. 10400 S. #103, SOUTH JORDAN, UT 84095(801) 445-1515(801) 446-5290 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southridge Pediatric Dentistry NPPES

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

SOUTHRIDGE PEDIATRIC DENTISTRY (NPI 1225249683) is a healthcare organization registered as a dentist in South Jordan, Utah and active in the NPI registry since May 2007. The organization lists David C Roth, Owner, as its authorized official.

NPPES Registry Identity

NPI1225249683

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTHRIDGE PEDIATRIC DENTISTRY

Location Address2651 W. 10400 S. #103South Jordan, UT 84095

Mailing Address2651 W. 10400 S. #103South Jordan, UT 84095 · (801) 445-1515 · Fax (801) 446-5290

Phone(801) 445-1515

Fax(801) 446-5290

Organization SubpartNo

Authorized OfficialDavid C RothOwner · (801) 446-1515

Enumeration DateMay 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1225249683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in UT · 343291✔ Licensed in UT · 5667938

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Southridge Pediatric Dentistry's NPI number?

The NPI number for Southridge Pediatric Dentistry is 1225249683. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is Southridge Pediatric Dentistry located?

Southridge Pediatric Dentistry is located at 2651 W. 10400 S. #103, South Jordan, UT 84095. The listed phone number is (801) 445-1515.

What is Southridge Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Southridge Pediatric Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.