Clubhouse Pediatric Dentistry Of West Jordan
Pediatric Dental Clinic
1108 E South Union Ave, Midvale
Utah, 84047-2904
208-520-1514 Maps & DirectionsClubhouse Pediatric Dentistry Of West Jordan is a Pediatric Dental Clinic in Midvale, Utah. This organization is also known as sub part of Capstone Llc. It is located at 1108 E South Union Ave, Midvale, UT and its contact number is 208-520-1514. The authorized person for Clubhouse Pediatric Dentistry Of West Jordan is Mrs. Jennifer Louise Robison
who is Credentialing Coordinator of the clinic and their contact number is 208-520-1514.
Clubhouse Pediatric Dentistry Of West Jordan Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clubhouse Pediatric Dentistry Of West Jordan Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Clubhouse Pediatric Dentistry Of West Jordan |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1108 E South Union Ave, Midvale,
Utah, 84047-2904 |
| Phone: | 208-520-1514 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Jennifer Louise Robison |
| Position: | Credentialing Coordinator |
| Contact Number: | 208-520-1514 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Clubhouse Pediatric Dentistry Of West Jordan clinic are as mentioned below.
| NPI Number: | 1639654684 |
| Parent Organization: | Capstone Llc |
| NPI Enumeration Date: | 26 Sep, 2018 |
| NPI Last Update On: | 26 Sep, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clubhouse Pediatric Dentistry Of West Jordan are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Clubhouse Pediatric Dentistry Of West Jordan
1108 E South Union Ave,
Midvale, Utah |
| Zip: | 84047-2904 |
| Phone Number: | 208-520-1514 |
Patients can reach Clubhouse Pediatric Dentistry Of West Jordan at
1108 E South Union Ave, Midvale, Utah or can
call to book an appointment on 208-520-1514.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.