South Davis Pediatric Dentistry Llc

LBN: South Davis Pediatric Dentistry Llc
South Davis Pediatric Dentistry Llc is an health care organization with primary practice located at 59 W Pages Ln Ste 110 , Bountiful UT 84010-5988. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. South Davis Pediatric Dentistry Llc can be contacted via phone (801) 294-8880, or through Odion, Charles via phone (801) 294-8880.

Contact Information

Primary practice address
59 W Pages Ln Ste 110 Bountiful UT 84010-5988
Phone: (801) 294-8880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Odion, Charles Doctor of Dental Surgery (DDS)
Phone: (801) 294-8880

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1841891462
LBN Legal business name South Davis Pediatric Dentistry Llc
DBA Doing business as
Authorized official Odion, Charles Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2020
Last updated Nov 2nd, 2020 - about 5 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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