ATLANTIS PEDIATRIC DENTISTRY
NPI 1811269756
Dentist - Pediatric Dentistry in Syracuse, UT

Active since February 08, 2012
1792 W 1700 S STE 101, SYRACUSE, UT 84075(801) 614-0099(801) 776-3661 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Atlantis Pediatric Dentistry NPPES

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

ATLANTIS PEDIATRIC DENTISTRY (NPI 1811269756) is a healthcare organization registered as a pediatric dentistry in Syracuse, Utah and active in the NPI registry since February 2012. The organization lists Cathilyn Self, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1811269756
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePACIFIC WEST DENTAL GROUP
Location Address1792 W 1700 S STE 101Syracuse, UT 84075-9650
Mailing Address1792 W 1700 S Ste 101Syracuse, UT 84075-9650 · (801) 614-0099 · Fax (801) 776-3661
Fax(801) 776-3661
Organization SubpartNo
Authorized OfficialCathilyn SelfInsurance Coordinator · (801) 614-0099
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJanuary 4, 2016
NPI 1811269756 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 · 4921068
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.

1792 W 1700 S STE 101, Syracuse, UT 84075

Other Names 1

Doing Business AsAtlantis 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

Other Providers at the Same Location NPPES 4

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1792 W 1700 S STE 101
SYRACUSE, UT 84075
Dentist (Pediatric Dentistry)
1792 W 1700 S STE 101
SYRACUSE, UT 84075
Dentist (Orthodontics and Dentofacial Orthopedics)
1792 W 1700 S STE 101
SYRACUSE, UT 84075
Dentist (Pediatric Dentistry)
1792 W 1700 S STE 101
SYRACUSE, UT 84075

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 Pacific West Dental Group's NPI number?

The NPI number for Pacific West Dental Group is 1811269756. It was assigned to this organization in the NPPES registry on February 8, 2012. The provider is doing business as Atlantis Pediatric Dentistry.

Where is Pacific West Dental Group located?

Pacific West Dental Group is located at 1792 W 1700 S Ste 101, Syracuse, UT 84075. The listed phone number is (801) 614-0099.

What is Pacific West Dental Group'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 Pacific West Dental Group was last updated on January 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.