# CHILDREN'S CROSSING PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003138843
- **Authorized official:** JEFFERY K RUPP DMD, MS (OWNER)
- **Authorized official phone:** (801) 635-4143

## Contact information

- **Practice address:** 1528 N COMMERCE DR, SUITE 100, SARATOGA SPRINGS, UT 84045-4032
- **Practice address phone:** (801) 766-4900
- **Mailing address:** 1528 N COMMERCE DR, SUITE 100, SARATOGA SPRINGS, UT 84045-4032
- **Mailing address phone:** (801) 766-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5352062 | UT | Yes |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 04/12/2018