Rose Park Pediatric Dentistry, Pc

LBN: Rose Park Pediatric Dentistry, Pc
Rose Park Pediatric Dentistry, Pc is an health care organization with primary practice located at 55 N Redwood Rd Ste B , Salt Lake City UT 84116-3174. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Rose Park Pediatric Dentistry, Pc can be contacted via phone (801) 519-2222, or through Johansen, Richard Ryan via phone (801) 519-2222.

Contact Information

Primary practice address
55 N Redwood Rd Ste B Salt Lake City UT 84116-3174
Phone: (801) 519-2222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johansen, Richard Ryan Doctor of Dental Surgery (DDS)
Phone: (801) 519-2222

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 49534949923 Utah

Profile Details

NPI number 1831338623
LBN Legal business name Rose Park Pediatric Dentistry, Pc
DBA Doing business as
Authorized official Johansen, Richard Ryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 18th, 2009
Last updated Feb 18th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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