Ut Pediatric Dentistry is a Pediatric Dental Clinic in West Memphis, Arkansas. It is located at 200 W Tyler Ave, West Memphis, AR and its contact number is 870-733-3854. The authorized person for Ut Pediatric Dentistry is Dr. Sanford Jay Fenton
who is Chair of the clinic and their contact number is 870-733-3854.
Ut 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:
Ut 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: | Ut Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 200 W Tyler Ave, West Memphis,
Arkansas, 72301-4223 |
| Phone: | 870-733-3854 |
| Fax: | 870-733-3851 |
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: | Dr. Sanford Jay Fenton |
| Position: | Chair |
| Contact Number: | 870-733-3854 |
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 Ut Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1407988116 |
| NPI Enumeration Date: | 09 Mar, 2007 |
| NPI Last Update On: | 19 Mar, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ut Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | 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 |
| 150226608 | Medicaid | Arkansas | |
| 107199608 | Medicaid | Arkansas | |
| 111494608 | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ut Pediatric Dentistry
200 W Tyler Ave,
West Memphis, Arkansas |
| Zip: | 72301-4223 |
| Phone Number: | 870-733-3854 |
| Fax Number: | 870-733-3851 |
Patients can reach Ut Pediatric Dentistry at
200 W Tyler Ave, West Memphis, Arkansas or can
call to book an appointment on 870-733-3854.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.