# KIDS TOWN PEDIATRIC DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356607493
- **Authorized official:** BRETT PACKHAM DDS (OWNER/DENTIST)
- **Authorized official phone:** (801) 799-2900

## Contact information

- **Practice address:** 2940 N. CHURCH ST., \#301, LAYTON, UT 84040
- **Practice address phone:** (801) 799-2900
- **Practice address fax:** (801) 217-3950
- **Mailing address:** 2940 N. CHURCH ST., \#301, LAYTON, UT 84040
- **Mailing address phone:** (801) 799-2900
- **Mailing address fax:** (801) 217-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 6362621-9922 | UT | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 07/17/2013