1. Home
  2. Directory
  3. Utah
  4. Taylorsville
  5. Dentist
  6. NPI Profile

KIDS CREEK PED. DENTISTRY
NPI 1821521485
Dentist - Pediatric Dentistry in Taylorsville, UT

Active since April 10, 2017
2964 W 4700 S STE 103, TAYLORSVILLE, UT 84129(801) 417-8080 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kids Creek Ped. Dentistry NPPES

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

KIDS CREEK PED. DENTISTRY (NPI 1821521485) is a healthcare organization registered as a pediatric dentistry in Taylorsville, Utah and active in the NPI registry since April 2017. The organization lists Samuel B Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1821521485
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS CREEK PED. DENTISTRY
Location Address2964 W 4700 S STE 103Taylorsville, UT 84129-2558
Mailing Address2964 W 4700 S Ste 103Taylorsville, UT 84129-2558 · (801) 417-8080
Phone(801) 417-8080
Organization SubpartNo
Authorized OfficialSamuel B BaileyOwner · (801) 417-8080
Enumeration DateApril 10, 2017
✔ NPI 1821521485 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 · 7693653
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.
2964 W 4700 S STE 103, Taylorsville, UT 84129
Open in Google Maps ↗

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

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

DR. SAMUEL BLACKHAM BAILEY DMD
Dentist (Pediatric Dentistry)
2964 W 4700 S STE 103
TAYLORSVILLE, UT 84129
Salt Lake County (801) 417-8080

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 Kids Creek Ped. Dentistry's NPI number?

The NPI number for Kids Creek Ped. Dentistry is 1821521485. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Kids Creek Ped. Dentistry located?

Kids Creek Ped. Dentistry is located at 2964 W 4700 S Ste 103, Taylorsville, UT 84129. The listed phone number is (801) 417-8080.

What is Kids Creek Ped. Dentistry's specialty?

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

What insurance does Kids Creek Ped. Dentistry accept?

Health plans from UnitedHealthcare list Kids Creek Ped. Dentistry 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 Kids Creek Ped. Dentistry was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.