# DEER CREEK CHILDRENS DENTISTRY

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

## Provider details

- **NPI number:** 1326584921
- **Authorized official:** TRAVIS WHITE D.M.D. (PRESIDENT)
- **Authorized official phone:** (435) 828-7500

## Contact information

- **Practice address:** 575 SOUTH 200 EAST, HEBER CITY, UT 84032
- **Practice address phone:** (801) 669-1607
- **Mailing address:** 575 SOUTH 200 EAST, HEBER CITY, UT 84032
- **Mailing address phone:** (801) 669-1607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 101772830160 | UT | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/06/2017