South Ogden Pediatric Dental P.c.
Pediatric Dental Clinic
5275 S. Adams Ave.,, Suite C, Washington Terrace
Utah, 84405
801-475-6433 801-334-8411
Maps & DirectionsSouth Ogden Pediatric Dental P.c. is a Pediatric Dental Clinic in Washington Terrace, Utah. It is located at 5275 S. Adams Ave.,, Suite C, Washington Terrace, UT and its contact number is 801-475-6433. The authorized person for South Ogden Pediatric Dental P.c. is M. Wade Rallison
who is Owner of the clinic and their contact number is 801-475-6433. The primary license number for South Ogden Pediatric Dental P.c. is 5118697-9923 (Pediatric Dentistry) in Utah.
South Ogden Pediatric Dental P.c. 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:
South Ogden Pediatric Dental P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South Ogden Pediatric Dental P.c. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 5275 S. Adams Ave.,, Suite C, Washington Terrace,
Utah, 84405 |
| Phone: | 801-475-6433 |
| Fax: | 801-334-8411 |
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: | M. Wade Rallison |
| Position: | Owner |
| Contact Number: | 801-475-6433 |
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 South Ogden Pediatric Dental P.c. clinic are as mentioned below.
| NPI Number: | 1104834191 |
| NPI Enumeration Date: | 04 Aug, 2006 |
| NPI Last Update On: | 21 Jun, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Ogden Pediatric Dental P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 5118697-9923 | 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 |
| 518155919002 | 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: | South Ogden Pediatric Dental P.c.
5275 S. Adams Ave.,, Suite C Suite #4
Washington Terrace, Utah |
| Zip: | 84405 |
| Phone Number: | 801-475-6433 |
| Fax Number: | 801-334-8411 |
Patients can reach South Ogden Pediatric Dental P.c. at
5275 S. Adams Ave.,, Suite C, Washington Terrace, Utah or can
call to book an appointment on 801-475-6433.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.