OUT OF THIS WORLD DENTISTRY WJ
NPI 1336548841
Dentist - Pediatric Dentistry in West Jordan, UT

Active since August 20, 2014
6787 S REDWOOD RD, SUITE #100, WEST JORDAN, UT 84084(801) 542-7009(801) 748-0920 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Out Of This World Dentistry Wj NPPES

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

OUT OF THIS WORLD DENTISTRY WJ (NPI 1336548841) is a healthcare organization registered as a pediatric dentistry in West Jordan, Utah and active in the NPI registry since August 2014. The organization lists Dannielle Stark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336548841
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameOUT OF THIS WORLD DENTISTRY WJ PC
Location Address6787 S REDWOOD RD, SUITE #100West Jordan, UT 84084-2404
Mailing Address6787 S Redwood Rd, Suite #100West Jordan, UT 84084-2404 · (801) 542-7009 · Fax (801) 748-0920
Fax(801) 748-0920
Organization SubpartYesParent: Out Of This World Dentistry Pc
Authorized OfficialDannielle StarkOffice Manager · (801) 898-7502
Enumeration DateAugust 20, 2014
NPI 1336548841 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 · 144937
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.
6787 S REDWOOD RD, West Jordan, UT 84084

Other Names 1

Doing Business AsOut Of This World Dentistry Wj

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

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
6787 S REDWOOD RD
WEST JORDAN, UT 84084

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 Out Of This World Dentistry Wj PC's NPI number?

The NPI number for Out Of This World Dentistry Wj PC is 1336548841. It was assigned to this organization in the NPPES registry on August 20, 2014. The provider is doing business as Out Of This World Dentistry Wj.

Where is Out Of This World Dentistry Wj PC located?

Out Of This World Dentistry Wj PC is located at 6787 S Redwood Rd Suite #100, West Jordan, UT 84084. The listed phone number is (801) 542-7009.

What is Out Of This World Dentistry Wj PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Out Of This World Dentistry Wj PC was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.