is a Pediatric Dental Clinic in Draper, Utah. It is located at 112 E 12450 S, #100, Draper, UT and its contact number is 801-571-6751. The authorized person for is Mrs. Carrie Louise Campbell
who is Business Manager of the clinic and their contact number is 801-571-6751. The primary license number for is 144937-9923 (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:
112 E 12450 S, #100, Draper, Utah, 84020-8056
Phone:
801-571-6751
Fax:
801-571-4156
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. Carrie Louise Campbell
Position:
Business Manager
Contact Number:
801-571-6751
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:
1912035163
NPI Enumeration Date:
01 Mar, 2007
NPI Last Update On:
22 Aug, 2020
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
144937-9923
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
529865775005
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:
112 E 12450 S, #100 Draper, Utah
Zip:
84020-8056
Phone Number:
801-571-6751
Fax Number:
801-571-4156
Patients can reach at 112 E 12450 S, #100, Draper, Utah or can call to book an appointment on 801-571-6751. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.