is a Pediatric Dental Clinic in Stansbury Park, Utah. It is located at 220 Millpond, Suite #106, Stansbury Park, UT and its contact number is 435-840-1025. The authorized person for is Dr. Trisha Richard Taylor
who is Dentist of the clinic and their contact number is 435-840-1025. The primary license number for is 4753208-9923 (Pediatric Dentistry) in Utah. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
220 Millpond, Suite #106, Stansbury Park, Utah, 84074-9745
Phone:
435-840-1025
Fax:
435-882-2680
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:
Dr. Trisha Richard Taylor
Position:
Dentist
Contact Number:
435-840-1025
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 clinic are as mentioned below.
NPI Number:
1679754766
NPI Enumeration Date:
17 Nov, 2007
NPI Last Update On:
17 Nov, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
4753208-9923
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
296664784000
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1249, Tooele, Utah
Zip:
84074-1249
Phone Number:
435-840-1025
Fax Number:
435-882-2680
Patients can reach at 220 Millpond, Suite #106, Stansbury Park, Utah or can call to book an appointment on 435-840-1025. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.