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WASATCH PEDIATRICS - SALT LAKE DENTAL
NPI 1982573366
Dentist - Pediatric Dentistry in Salt Lake City, UT

Active since November 03, 2025CLIA 46D2200864 · Certificate of Compliance
3838 S 700 E STE 200, SALT LAKE CITY, UT 84106(801) 453-9625(801) 944-7347 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2025, Nov 3, 2025 (2 updates tracked since 2025).

About Wasatch Pediatrics - Salt Lake Dental NPPES

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

WASATCH PEDIATRICS - SALT LAKE DENTAL (NPI 1982573366) is a healthcare organization registered as a pediatric dentistry in Salt Lake City, Utah and active in the NPI registry since November 2025. The organization holds a CLIA Certificate of Compliance certificate valid through April 17, 2028 and lists Alyshia Rice, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1982573366
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWASATCH PEDIATRICS - SALT LAKE DENTAL
Location Address3838 S 700 E STE 200Salt Lake City, UT 84106-1466
Mailing Address9071 S 1300 W Ste 205West Jordan, UT 84088-6725 · (801) 453-9625 · Fax (801) 944-7347
Phone(801) 453-9625
Fax(801) 944-7347
Organization SubpartYesParent: Wasatch Pediatrics, Inc
Authorized OfficialAlyshia RiceProvider Relations · (801) 453-9625
Enumeration DateNovember 3, 2025
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1982573366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
3838 S 700 E STE 200, Salt Lake City, UT 84106
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 46D2200864

Wasatch Pediatrics Salt Lake · Salt Lake City, UT
Active · expires Apr 17, 2028
CLIA Number46D2200864
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorDr. Bradley Kramer
Laboratory Phone(801) 264-8686
Laboratory LocationWasatch Pediatrics Salt Lake3838 S 700 E, Suite 200, Salt Lake City, UT 84106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Wasatch Pediatrics - Salt Lake Dental's NPI number?

The NPI number for Wasatch Pediatrics - Salt Lake Dental is 1982573366. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Wasatch Pediatrics - Salt Lake Dental located?

Wasatch Pediatrics - Salt Lake Dental is located at 3838 S 700 E Ste 200, Salt Lake City, UT 84106. The listed phone number is (801) 453-9625.

What is Wasatch Pediatrics - Salt Lake Dental's specialty?

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

Does Wasatch Pediatrics - Salt Lake Dental hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D2200864) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wasatch Pediatrics - Salt Lake Dental was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.