WASATCH PEDIATRIC DENTISTRY, PC
NPI 1487216685
Dentist - Pediatric Dentistry in Providence, UT

Active since July 08, 2019
530 W 465 N STE 703, PROVIDENCE, UT 84332(435) 999-0234(435) 363-9151 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Jul 8, 2019 (2 updates tracked since 2019).

About Wasatch Pediatric Dentistry, Pc NPPES

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

WASATCH PEDIATRIC DENTISTRY, PC (NPI 1487216685) is a healthcare organization registered as a pediatric dentistry in Providence, Utah and active in the NPI registry since July 2019. The organization lists Kurt Vest, Owner, as its authorized official.

NPPES Registry Identity

NPI1487216685
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWASATCH PEDIATRIC DENTISTRY, PC
Location Address530 W 465 N STE 703Providence, UT 84332-8006
Mailing Address1765 E 2450 NNorth Logan, UT 84341-4705 · (801) 360-8775 · Fax (435) 514-1743
Fax(435) 363-9151
Organization SubpartNo
Authorized OfficialKurt VestOwner · (435) 999-0234
Enumeration DateJuly 8, 2019
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1487216685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
530 W 465 N STE 703, Providence, UT 84332

Other Identifiers 1

Medicaid1457794315UT

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

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
530 W 465 N STE 703
PROVIDENCE, UT 84332
Nurse Anesthetist, Certified Registered
530 W 465 N STE 703
PROVIDENCE, UT 84332

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 Wasatch Pediatric Dentistry, PC's NPI number?

The NPI number for Wasatch Pediatric Dentistry, PC is 1487216685. It was assigned to this organization in the NPPES registry on July 8, 2019.

Where is Wasatch Pediatric Dentistry, PC located?

Wasatch Pediatric Dentistry, PC is located at 530 W 465 N Ste 703, Providence, UT 84332. The listed phone number is (435) 999-0234.

What is Wasatch Pediatric Dentistry, PC's specialty?

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

What insurance does Wasatch Pediatric Dentistry, PC accept?

Health plans from UnitedHealthcare list Wasatch Pediatric Dentistry, 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 Wasatch Pediatric Dentistry, PC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.