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HERRIMAN PEDIATRIC DENTISTRY
NPI 1376096966
Dentist - Pediatric Dentistry in Herriman, UT

Active since July 29, 2016
11996 S ANTHEM PARK BLVD # 101, HERRIMAN, UT 84096(801) 877-5800(801) 907-7266 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Herriman Pediatric Dentistry NPPES

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

HERRIMAN PEDIATRIC DENTISTRY (NPI 1376096966) is a healthcare organization registered as a pediatric dentistry in Herriman, Utah and active in the NPI registry since July 2016. The organization lists Charles Odion, Owner, as its authorized official.

NPPES Registry Identity

NPI1376096966
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHERRIMAN PEDIATRIC DENTISTRY
Location Address11996 S ANTHEM PARK BLVD # 101Herriman, UT 84096-5643
Mailing Address11996 S Anthem Park Blvd # 101Herriman, UT 84096-5643 · (801) 877-5800 · Fax (801) 907-7266
Phone(801) 877-5800
Fax(801) 907-7266
Organization SubpartNo
Authorized OfficialCharles OdionOwner · (801) 877-5800
Enumeration DateJuly 29, 2016
✔ NPI 1376096966 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 · 8858650
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.
11996 S ANTHEM PARK BLVD # 101, Herriman, UT 84096
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Other Identifiers 1

Medicaid556752017001UT

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Herriman Pediatric Dentistry's NPI number?

The NPI number for Herriman Pediatric Dentistry is 1376096966. It was assigned to this organization in the NPPES registry on July 29, 2016.

Where is Herriman Pediatric Dentistry located?

Herriman Pediatric Dentistry is located at 11996 S Anthem Park Blvd # 101, Herriman, UT 84096. The listed phone number is (801) 877-5800.

What is Herriman Pediatric Dentistry'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 Herriman Pediatric Dentistry was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.