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WHITE DOME PEDIATRIC DENTAL LLC
NPI 1780480665
Dentist - Pediatric Dentistry in Saint George, UT

Active since February 21, 2025
6025 S. RIVER RD. BLDG B STE 3, SAINT GEORGE, UT 84790(435) 628-0511 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Dome Pediatric Dental Llc NPPES

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

WHITE DOME PEDIATRIC DENTAL LLC (NPI 1780480665), doing business as Johnson Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Saint George, Utah and active in the NPI registry since February 2025. The organization lists Cody Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1780480665
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWHITE DOME PEDIATRIC DENTAL LLC
Location Address6025 S. RIVER RD. BLDG B STE 3Saint George, UT 84790
Mailing Address6025 S. River Rd. Bldg B Ste 3Saint George, UT 84790 · (435) 628-0511
Phone(435) 628-0511
Organization SubpartNo
Authorized OfficialCody JohnsonOwner · (435) 628-0511
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1780480665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
6025 S. RIVER RD. BLDG B STE 3, Saint George, UT 84790
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Other Names 1

Doing Business AsJohnson Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 White Dome Pediatric Dental LLC's NPI number?

The NPI number for White Dome Pediatric Dental LLC is 1780480665. It was assigned to this organization in the NPPES registry on February 21, 2025. The provider is doing business as Johnson Pediatric Dentistry.

Where is White Dome Pediatric Dental LLC located?

White Dome Pediatric Dental LLC is located at 6025 S. River Rd. Bldg B Ste 3, Saint George, UT 84790. The listed phone number is (435) 628-0511.

What is White Dome Pediatric Dental LLC'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 White Dome Pediatric Dental LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.