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STATION PARK PEDIATRIC DENTISTRY
NPI 1689300360
Dentist - Pediatric Dentistry in Farmington, UT

Active since July 26, 2022
1195 WEST PARK LN, FARMINGTON, UT 84025(801) 882-8800 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Station Park Pediatric Dentistry NPPES

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

STATION PARK PEDIATRIC DENTISTRY (NPI 1689300360), doing business as Boardwalk Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Farmington, Utah and active in the NPI registry since July 2022. The organization lists James Doll, Board Certified Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1689300360
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTATION PARK PEDIATRIC DENTISTRY
Location Address1195 WEST PARK LNFarmington, UT 84025
Mailing Address1195 West Park LnFarmington, UT 84025 · (801) 882-8800
Phone(801) 882-8800
Organization SubpartNo
Authorized OfficialJames DollBoard Certified Pediatric Dentist · (480) 278-6749
Enumeration DateJuly 26, 2022
NPPES CertifiedJuly 15, 2022
✔ NPI 1689300360 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.
1195 WEST PARK LN, Farmington, UT 84025
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Other Names 1

Doing Business AsBoardwalk Pediatric Dentistry

Other Identifiers 1

Medicaid1770712838UT

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 Station Park Pediatric Dentistry's NPI number?

The NPI number for Station Park Pediatric Dentistry is 1689300360. It was assigned to this organization in the NPPES registry on July 26, 2022. The provider is doing business as Boardwalk Pediatric Dentistry.

Where is Station Park Pediatric Dentistry located?

Station Park Pediatric Dentistry is located at 1195 West Park Ln, Farmington, UT 84025. The listed phone number is (801) 882-8800.

What is Station 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 Station Park Pediatric Dentistry was last updated on July 26, 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.