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DR. DOUG'S PEDIATRIC DENTISTRY P.C.
NPI 1780004267
Dentist - Pediatric Dentistry in Logan, UT

Active since April 23, 2014
1300 N 200 E, SUITE102, LOGAN, UT 84341(435) 232-9721(435) 792-3033 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Doug's Pediatric Dentistry P.c. NPPES

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

DR. DOUG'S PEDIATRIC DENTISTRY P.C. (NPI 1780004267), doing business as Small Smiles Pediatric Dentistry P.c., is a healthcare organization registered as a pediatric dentistry in Logan, Utah and active in the NPI registry since April 2014. The organization lists Kenneth Douglas Fryer, President, as its authorized official.

NPPES Registry Identity

NPI1780004267
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDR. DOUG'S PEDIATRIC DENTISTRY P.C.
Location Address1300 N 200 E, SUITE102Logan, UT 84341-2398
Mailing Address1300 N 200 E, Suite102Logan, UT 84341-2398 · (435) 232-9721 · Fax (435) 792-3033
Phone(435) 232-9721
Fax(435) 792-3033
Organization SubpartNo
Authorized OfficialKenneth Douglas FryerPresident · (435) 792-3033
Enumeration DateApril 23, 2014
✔ NPI 1780004267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 285140-9923
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.

1300 N 200 E, Logan, UT 84341
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Other Names 1

Former Legal Business NameSmall Smiles Pediatric Dentistry P.c.

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 6

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

DR. MARQUE E RANDALL PHD
Psychologist (Counseling)
1300 N 200 E, STE 114-A
LOGAN, UT 84341
Cache County (435) 753-2687
JEFFREY L CROMWELL O.D.
Optometrist
1300 N 200 E, SUITE 104
LOGAN, UT 84341
Cache County (435) 752-6453
DREW TRIBETT, D.C. PC
Chiropractor
1300 N 200 E, SUITE #110
LOGAN, UT 84341
Cache County (435) 755-7654
METRO TREATMENT OF UTAH LP
Community/Behavioral Health
1300 N 200 E, SUITE 104
LOGAN, UT 84341
Cache County (435) 755-5915
SMALL SMILES PEDIATRIC DENTISTRY P.C.
Dentist (Pediatric Dentistry)
1300 N 200 E, SUITE 102
LOGAN, UT 84341
Cache County (435) 792-3033
IHC HEALTH SERVICES INC
Durable Medical Equipment & Medical Supplies
1300 N 200 E, SUITE 106
LOGAN, UT 84341
Cache County (435) 716-5396

Frequently Asked Questions

What is DR. DOUG'S PEDIATRIC DENTISTRY P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1780004267, enumerated as an "organization" on April 23, 2014.

Where is the provider located?

The provider is located at 1300 N 200 E SUITE102 LOGAN, UT 84341 and the phone number is (435) 232-9721.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.