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SOUTH HILLS PEDIATRIC DENTAL SPECIALISTS, LLC
NPI 1730714783
Dentist - Pediatric Dentistry in Riverton, UT

Active since March 10, 2020
4013 W 13400 S, RIVERTON, UT 84096(385) 210-1000 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Hills Pediatric Dental Specialists, Llc NPPES

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

SOUTH HILLS PEDIATRIC DENTAL SPECIALISTS, LLC (NPI 1730714783) is a healthcare organization registered as a pediatric dentistry in Riverton, Utah and active in the NPI registry since March 2020. The organization lists Matthew Jacobsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1730714783
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTH HILLS PEDIATRIC DENTAL SPECIALISTS, LLC
Location Address4013 W 13400 SRiverton, UT 84096-6410
Mailing Address4013 W 13400 SRiverton, UT 84096-6410 · (385) 210-1000
Phone(385) 210-1000
Organization SubpartNo
Authorized OfficialMatthew JacobsenOwner · (801) 589-3150
Enumeration DateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1730714783 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.

4013 W 13400 S, Riverton, UT 84096
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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

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

Other Providers at the Same Location NPPES 6

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

SOUTH HILLS ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
4013 W 13400 S
RIVERTON, UT 84096
Salt Lake County (385) 210-1111
SOUTH HILLS PEDIATRIC DENTISTRY
Clinic/Center (Dental)
4013 W 13400 S
RIVERTON, UT 84096
Salt Lake County (385) 210-1000
DR. TONY LEWIS SKANCHY D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
4013 W 13400 S
RIVERTON, UT 84096
Salt Lake County (385) 210-1111
DR. BARTON SLOAN D.M.D.
Dentist (Pediatric Dentistry)
4013 W 13400 S
RIVERTON, UT 84096
Salt Lake County (385) 210-1000
DR. MATTHEW VAUGHN JACOBSEN DDS
Dentist (Pediatric Dentistry)
4013 W 13400 S
RIVERTON, UT 84096
Salt Lake County (385) 210-1000
DANIEL CHRISTOPHER FORD
Dentist (Pediatric Dentistry)
4013 W 13400 S
RIVERTON, UT 84096
Salt Lake County (385) 210-1000

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 South Hills Pediatric Dental Specialists, LLC's NPI number?

The NPI number for South Hills Pediatric Dental Specialists, LLC is 1730714783. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is South Hills Pediatric Dental Specialists, LLC located?

South Hills Pediatric Dental Specialists, LLC is located at 4013 W 13400 S, Riverton, UT 84096. The listed phone number is (385) 210-1000.

What is South Hills Pediatric Dental Specialists, LLC's specialty?

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

What insurance does South Hills Pediatric Dental Specialists, LLC accept?

Health plans from UnitedHealthcare list South Hills Pediatric Dental Specialists, LLC 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 South Hills Pediatric Dental Specialists, LLC was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.