# CHILDREN'S DENTAL OF CEDAR CITY

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

## Provider details

- **NPI number:** 1457767840
- **Authorized official:** DR. JEREMY JACK SCHOLZEN DMD (DOCTOR / OWNER)
- **Authorized official phone:** (435) 586-6555

## Contact information

- **Practice address:** 1321 S PROVIDENCE CENTER DR, CEDAR CITY, UT 84720-7985
- **Practice address phone:** (435) 586-6555
- **Practice address fax:** (435) 586-6602
- **Mailing address:** 201 S 700 W, HURRICANE, UT 84737-2423
- **Mailing address phone:** (435) 586-6555
- **Mailing address fax:** (435) 586-6602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 6329558-9923 | UT | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 07/07/2014