PEDIATRIC DENTAL PC
NPI 1992880710
Dentist - Pediatric Dentistry in Farmington, UT

Active since October 27, 2006
1401 N HIGHWAY 89, #200, FARMINGTON, UT 84025(801) 447-5437(801) 447-4685 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Pc NPPES

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

PEDIATRIC DENTAL PC (NPI 1992880710) is a healthcare organization registered as a pediatric dentistry in Farmington, Utah and active in the NPI registry since October 2006. The organization lists John R. Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1992880710
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL PC
Location Address1401 N HIGHWAY 89, #200Farmington, UT 84025-2745
Mailing Address1401 N Highway 89, #200Farmington, UT 84025-2745 · (801) 447-5437 · Fax (801) 447-4685
Fax(801) 447-4685
Organization SubpartNo
Authorized OfficialJohn R. AndersonOwner · (801) 540-5081
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1992880710 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 · 341292
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.
1401 N HIGHWAY 89, Farmington, UT 84025

Other Identifiers 1

Medicaid528537398004UT

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 2

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

Dentist (Pediatric Dentistry)
1401 N HIGHWAY 89, #200
FARMINGTON, UT 84025
Family Medicine
1401 N HIGHWAY 89, SUITE 220
FARMINGTON, UT 84025

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 Pediatric Dental PC's NPI number?

The NPI number for Pediatric Dental PC is 1992880710. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Pediatric Dental PC located?

Pediatric Dental PC is located at 1401 N Highway 89 #200, Farmington, UT 84025. The listed phone number is (801) 447-5437.

What is Pediatric Dental PC'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 Pediatric Dental PC was last updated on August 22, 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.