# LEGACY PEDIATRIC DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1487910147
- **Authorized official:** DR. SCOTT C FOLKMAN D.M.D. (OWNER/PRINCIPAL)
- **Authorized official phone:** (801) 710-4593

## Contact information

- **Practice address:** 3225 W GORDON AVE, STE G, LAYTON, UT 84041-6508
- **Practice address phone:** (801) 544-3400
- **Practice address fax:** (801) 544-3402
- **Mailing address:** 3225 W GORDON AVE, STE G, LAYTON, UT 84041-6508
- **Mailing address phone:** (801) 544-3400
- **Mailing address fax:** (801) 544-3402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 8224117-9923 | UT | Yes |

## Other

- **Enumeration date:** 04/07/2012
- **Last updated:** 04/07/2012