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STANSBURY PARK PEDIATRIC DENTISTRY
NPI 1487295218
Dentist - Pediatric Dentistry in Stansbury Park, UT

Active since October 02, 2019
263 COUNTRY CLB STE 102, STANSBURY PARK, UT 84074(435) 580-8800 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stansbury Park Pediatric Dentistry NPPES

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

STANSBURY PARK PEDIATRIC DENTISTRY (NPI 1487295218) is a healthcare organization registered as a pediatric dentistry in Stansbury Park, Utah and active in the NPI registry since October 2019. The organization lists Alisha Shigley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487295218
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTANSBURY PARK PEDIATRIC DENTISTRY
Location Address263 COUNTRY CLB STE 102Stansbury Park, UT 84074-9602
Mailing Address11996 S Anthem Park Blvd Ste 102Herriman, UT 84096-5643 · (435) 580-8800
Phone(435) 580-8800
Organization SubpartNo
Authorized OfficialAlisha ShigleyOffice Manager · (435) 580-8800
Enumeration DateOctober 2, 2019
✔ NPI 1487295218 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.
263 COUNTRY CLB STE 102, Stansbury Park, UT 84074
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Other Identifiers 3

Other1275821415UT · Npi
Other1811237076UT · Npi
Other1346761152UT · Npi

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

Other Providers at the Same Location NPPES

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

MCCONNELL DENTAL CARE III
Dentist
263 COUNTRY CLB STE 102
STANSBURY PARK, UT 84074
Tooele County (435) 830-4967

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 Stansbury Park Pediatric Dentistry's NPI number?

The NPI number for Stansbury Park Pediatric Dentistry is 1487295218. It was assigned to this organization in the NPPES registry on October 2, 2019.

Where is Stansbury Park Pediatric Dentistry located?

Stansbury Park Pediatric Dentistry is located at 263 Country Clb Ste 102, Stansbury Park, UT 84074. The listed phone number is (435) 580-8800.

What is Stansbury Park 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 Stansbury Park Pediatric Dentistry was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.