Herriman Pediatric Dentistry
Pediatric Dental Clinic
11996 S Anthem Park Blvd # 101, Herriman
Utah, 84096-5643
801-877-5800 801-907-7266
Maps & DirectionsHerriman Pediatric Dentistry is a Pediatric Dental Clinic in Herriman, Utah. It is located at 11996 S Anthem Park Blvd # 101, Herriman, UT and its contact number is 801-877-5800. The authorized person for Herriman Pediatric Dentistry is Charles Odion
who is Owner of the clinic and their contact number is 801-877-5800. The primary license number for Herriman Pediatric Dentistry is 8858650 (Pediatric Dentistry) in Utah.
Herriman Pediatric Dentistry 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:
Herriman Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Herriman Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 11996 S Anthem Park Blvd # 101, Herriman, Utah, 84096-5643 |
| Phone: | 801-877-5800 |
| Fax: | 801-907-7266 |
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: | Charles Odion |
| Position: | Owner |
| Contact Number: | 801-877-5800 |
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 Herriman Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1376096966 |
| NPI Enumeration Date: | 29 Jul, 2016 |
| NPI Last Update On: | 29 Jul, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Herriman Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 8858650 | 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 |
| 556752017001 | 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: | Herriman Pediatric Dentistry 11996 S Anthem Park Blvd # 101, Herriman, Utah |
| Zip: | 84096-5643 |
| Phone Number: | 801-877-5800 |
| Fax Number: | 801-907-7266 |
Patients can reach Herriman Pediatric Dentistry at
11996 S Anthem Park Blvd # 101, Herriman, Utah or can
call to book an appointment on 801-877-5800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.