PEDOORTHO PARTNERS PLLC
NPI 1639828007
Dentist - Pediatric Dentistry in West Jordan, UT

Q: What is Pedoortho Partners PLLC's NPI number?

The NPI number for Pedoortho Partners PLLC is 1639828007. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is doing business as Clubhouse Pediatric Dentistry.

Q: What is Pedoortho Partners PLLC's specialty?

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

Active since March 22, 2022

5481 W 7800 S STE 120, WEST JORDAN, UT 84081(801) 542-0817 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pedoortho Partners Pllc NPPES

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

PEDOORTHO PARTNERS PLLC (NPI 1639828007), doing business as Clubhouse Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in West Jordan, Utah and active in the NPI registry since March 2022. The organization lists Vicenta Reyes, Credntialing ,lead, as its authorized official.

NPPES Registry Identity

NPI1639828007

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDOORTHO PARTNERS PLLC

Location Address5481 W 7800 S STE 120West Jordan, UT 84081-6027

Mailing Address5481 W 7800 S Ste 120West Jordan, UT 84081-6027 · (801) 542-0817

Phone(801) 542-0817

Organization SubpartNo

Authorized OfficialVicenta ReyesCredntialing ,lead · (972) 869-3789

Enumeration DateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1639828007 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.

5481 W 7800 S STE 120, West Jordan, UT 84081

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Other Names 1

Doing Business AsClubhouse Pediatric Dentistry

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Pedoortho Partners PLLC's NPI number?

The NPI number for Pedoortho Partners PLLC is 1639828007. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is doing business as Clubhouse Pediatric Dentistry.

Where is Pedoortho Partners PLLC located?

Pedoortho Partners PLLC is located at 5481 W 7800 S Ste 120, West Jordan, UT 84081. The listed phone number is (801) 542-0817.

What is Pedoortho Partners PLLC's specialty?

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

What insurance does Pedoortho Partners PLLC accept?

Health plans from UnitedHealthcare list Pedoortho Partners PLLC 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 Pedoortho Partners PLLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.