Herriman 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.