Southridge Pediatric Dentistry is a Dental Clinic in South Jordan, Utah. It is located at 2651 W. 10400 S. #103, South Jordan, UT and its contact number is 801-445-1515. The authorized person for Southridge Pediatric Dentistry is David C Roth
who is Owner of the clinic and their contact number is 801-446-1515. The primary license number for Southridge Pediatric Dentistry is 343291 (Dentist) in Utah. Southridge Pediatric Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Southridge 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:
Southridge Pediatric Dentistry
Specialization:
Dentistry
Clinic Address:
2651 W. 10400 S. #103, South Jordan, Utah, 84095
Phone:
801-445-1515
Fax:
801-446-5290
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:
David C Roth
Position:
Owner
Contact Number:
801-446-1515
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 Southridge Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1225249683
NPI Enumeration Date:
25 May, 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 Southridge Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
343291
Utah
Primary
Dentist
5667938
Utah
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southridge Pediatric Dentistry 2651 W. 10400 S. #103, South Jordan, Utah
Zip:
84095
Phone Number:
801-445-1515
Fax Number:
801-446-5290
Patients can reach Southridge Pediatric Dentistry at 2651 W. 10400 S. #103, South Jordan, Utah or can call to book an appointment on 801-445-1515. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.