Southridge Pediatric Dentistry

LBN: Southridge Pediatric Dentistry
Southridge Pediatric Dentistry is an health care organization with primary practice located at 2651 W. 10400 S. #103 , South Jordan UT 84095. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Southridge Pediatric Dentistry can be contacted via phone (801) 445-1515, or through Roth, David C via phone (801) 446-1515.

Contact Information

Primary practice address
2651 W. 10400 S. #103 South Jordan UT 84095
Phone: (801) 445-1515
Fax: (801) 446-5290
Website:
Map and Directions
Authorized official contact:
Name: Roth, David C Doctor of Dental Surgery (DDS)
Phone: (801) 446-1515

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 343291 Utah
Dental Providers / Dentist 122300000X 5667938 Utah

Profile Details

NPI number 1225249683
LBN Legal business name Southridge Pediatric Dentistry
DBA Doing business as
Authorized official Roth, David C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
Last updated Aug 22nd, 2020 - about 4 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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