SOUTH DAVIS PEDIATRIC DENTISTRY LLC
NPI 1841891462
Dentist - Pediatric Dentistry in Bountiful, UT

Q: What is South Davis Pediatric Dentistry LLC's NPI number?

The NPI number for South Davis Pediatric Dentistry LLC is 1841891462. It was assigned to this organization in the NPPES registry on November 2, 2020.

Q: What is South Davis Pediatric Dentistry LLC's specialty?

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

Active since November 02, 2020

59 W PAGES LN STE 110, BOUNTIFUL, UT 84010(801) 294-8880 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Davis Pediatric Dentistry Llc NPPES

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

SOUTH DAVIS PEDIATRIC DENTISTRY LLC (NPI 1841891462) is a healthcare organization registered as a pediatric dentistry in Bountiful, Utah and active in the NPI registry since November 2020. The organization lists Charles Odion, Owner, as its authorized official.

NPPES Registry Identity

NPI1841891462

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSOUTH DAVIS PEDIATRIC DENTISTRY LLC

Location Address59 W PAGES LN STE 110Bountiful, UT 84010-5988

Mailing Address59 W Pages Ln Ste 110Bountiful, UT 84010-5988

Phone(801) 294-8880

Organization SubpartNo

Authorized OfficialCharles OdionOwner · (801) 294-8880

Enumeration DateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1841891462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

59 W PAGES LN STE 110, Bountiful, UT 84010

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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

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

CHASE DAVID HARDY D.M.D.

Dentist

59 W PAGES LN STE 110
BOUNTIFUL, UT 84010

Davis County (801) 835-1863

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 South Davis Pediatric Dentistry LLC's NPI number?

The NPI number for South Davis Pediatric Dentistry LLC is 1841891462. It was assigned to this organization in the NPPES registry on November 2, 2020.

Where is South Davis Pediatric Dentistry LLC located?

South Davis Pediatric Dentistry LLC is located at 59 W Pages Ln Ste 110, Bountiful, UT 84010. The listed phone number is (801) 294-8880.

What is South Davis Pediatric Dentistry 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 South Davis Pediatric Dentistry LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.