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.
Organization
STATION PARK PEDIATRIC DENTISTRY
Active
Organization
STATION PARK PEDIATRIC DENTISTRY
Active
Other names
Boardwalk Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DOLL DMD (BOARD CERTIFIED PEDIATRIC DENTIST)
(480) 278-6749
Entity
Organization
Contact information
Practice address
1195 WEST PARK LN, FARMINGTON, UT 84025
(801) 882-8800
Mailing address
1195 WEST PARK LN, FARMINGTON, UT 84025
(801) 882-8800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770712838
—
UT
Enumeration date
07/26/2022
Last updated
07/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers