# FAMILIES FIRST PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1265206536
- **Authorized official:** EBONIE GONZALES (CREDENTIALING)
- **Authorized official phone:** (505) 850-3769

## Contact information

- **Practice address:** 5136 N CAMBRIDGE WAY, STANSBURY PARK, UT 84074-8279
- **Practice address phone:** (801) 515-5858
- **Mailing address:** PO BOX 95868, SOUTH JORDAN, UT 84095-0868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 07/01/2025