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

Q: What is Dr. Doug's Pediatric Dentistry P.C.'s NPI number?

The NPI number for Dr. Doug's Pediatric Dentistry P.C. is 1780004267. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider was formerly known as Small Smiles Pediatric Dentistry P.C..

Q: What is Dr. Doug's Pediatric Dentistry P.C.'s specialty?

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

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: August 16, 2026.

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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

METRO TREATMENT OF UTAH LP

Community/Behavioral Health

1300 N 200 E, SUITE 104
LOGAN, UT 84341

Cache County (435) 755-5915

DREW TRIBETT, D.C. PC

Chiropractor

1300 N 200 E, SUITE #110
LOGAN, UT 84341

Cache County (435) 755-7654

JEFFREY L CROMWELL O.D.

Optometrist

1300 N 200 E, SUITE 104
LOGAN, UT 84341

Cache County (435) 752-6453

IHC HEALTH SERVICES INC

Durable Medical Equipment & Medical Supplies

1300 N 200 E, SUITE 106
LOGAN, UT 84341

Cache County (435) 716-5396

SMALL SMILES PEDIATRIC DENTISTRY P.C.

Dentist (Pediatric Dentistry)

1300 N 200 E, SUITE 102
LOGAN, UT 84341

Cache County (435) 792-3033

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 Dr. Doug's Pediatric Dentistry P.C.'s NPI number?

The NPI number for Dr. Doug's Pediatric Dentistry P.C. is 1780004267. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider was formerly known as Small Smiles Pediatric Dentistry P.C..

Where is Dr. Doug's Pediatric Dentistry P.C. located?

Dr. Doug's Pediatric Dentistry P.C. is located at 1300 N 200 E Suite102, Logan, UT 84341. The listed phone number is (435) 232-9721.

What is Dr. Doug's Pediatric Dentistry P.C.'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 Dr. Doug's Pediatric Dentistry P.C. was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.