# STANSBURY PEDIATRIC DENTISTRY AND ORTHODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentistry 4 The kids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679754766
- **Authorized official:** DR. TRISHA RICHARD TAYLOR DMD (DENTIST)
- **Authorized official phone:** (435) 840-1025

## Contact information

- **Practice address:** 220 MILLPOND, SUITE \#106, STANSBURY PARK, UT 84074-9745
- **Practice address phone:** (435) 840-1025
- **Practice address fax:** (435) 882-2680
- **Mailing address:** PO BOX 1249, TOOELE, UT 84074-1249
- **Mailing address phone:** (435) 840-1025
- **Mailing address fax:** (435) 882-2680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4753208-9923 | UT | Yes |

## Other

- **Enumeration date:** 11/17/2007
- **Last updated:** 11/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 296664784000 | — | UT |