# UT SPECIALTY DENTAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UT SPECIALTY DENTAL SERVICES, PLLC
- **Other names:** Dry Creek Pediatric Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306603246
- **Legal business name:** UT SPECIALTY DENTAL SERVICES, PLLC
- **Authorized official:** CHARLOTTE V DASCH (DIRECTOR OF CRED AND PR)
- **Authorized official phone:** (504) 638-0303

## Contact information

- **Practice address:** 3300 N RUNNING CREEK WAY STE F101, LEHI, UT 84043-5738
- **Practice address phone:** (801) 766-2266
- **Mailing address:** 1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
- **Mailing address phone:** (615) 678-0759

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024