# NORTH DAVIS PEDIATRIC DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Davis Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619764099
- **Authorized official:** JASON HORGESHEIMER (OWNER)
- **Authorized official phone:** (801) 919-8880

## Contact information

- **Practice address:** 1792 W 1700 S STE 101, SYRACUSE, UT 84075-9650
- **Practice address phone:** (801) 919-8880
- **Mailing address:** 1792 W 1700 S STE 101, SYRACUSE, UT 84075-9650

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 04/21/2025