South 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.