KIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE
NPI 1992179964
Dentist - Pediatric Dentistry in Syracuse, UT

Active since November 13, 2015
780 S 2000 W, SUITE #F-2, SYRACUSE, UT 84075(801) 776-8176(801) 774-9085 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kids Town Pediatric Dentistry Of Syracuse NPPES

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

KIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE (NPI 1992179964) is a healthcare organization registered as a pediatric dentistry in Syracuse, Utah and active in the NPI registry since November 2015. The organization lists Brett Packham, Member, as its authorized official.

NPPES Registry Identity

NPI1992179964
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE
Location Address780 S 2000 W, SUITE #F-2Syracuse, UT 84075-9602
Mailing Address780 S 2000 W, Suite #f-2Syracuse, UT 84075-9602 · (801) 776-8176 · Fax (801) 774-9085
Fax(801) 774-9085
Organization SubpartNo
Authorized OfficialBrett PackhamMember · (801) 217-3359
Enumeration DateNovember 13, 2015
NPI 1992179964 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 · 6362621-9922
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.
780 S 2000 W, Syracuse, UT 84075

Other Identifiers 1

Medicaid1477728269UT

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

Other Providers at the Same Location NPPES 12

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

Dentist
780 S 2000 W, F 1
SYRACUSE, UT 84075
Social Worker (Clinical)
780 S 2000 W, SUITE E 302
SYRACUSE, UT 84075
Dentist (Orthodontics and Dentofacial Orthopedics)
780 S 2000 W, BLDG E304
SYRACUSE, UT 84075
Counselor (Professional)
780 S 2000 W, BUILDING E, SUITE #302
SYRACUSE, UT 84075
Dentist (General Practice)
780 S 2000 W, STE F1
SYRACUSE, UT 84075
Dentist (General Practice)
780 S 2000 W, SUITE E-301
SYRACUSE, UT 84075
Clinic/Center (Dental)
780 S 2000 W, SUITE E-301
SYRACUSE, UT 84075
Dentist
780 S 2000 W, BLDG F2
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 Kids Town Pediatric Dentistry Of Syracuse's NPI number?

The NPI number for Kids Town Pediatric Dentistry Of Syracuse is 1992179964. It was assigned to this organization in the NPPES registry on November 13, 2015.

Where is Kids Town Pediatric Dentistry Of Syracuse located?

Kids Town Pediatric Dentistry Of Syracuse is located at 780 S 2000 W Suite #f-2, Syracuse, UT 84075. The listed phone number is (801) 776-8176.

What is Kids Town Pediatric Dentistry Of Syracuse's specialty?

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

What insurance does Kids Town Pediatric Dentistry Of Syracuse accept?

Health plans from UnitedHealthcare list Kids Town Pediatric Dentistry Of Syracuse 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 Town Pediatric Dentistry Of Syracuse was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.