# FAMILIES FIRST PEDIATRIC DENTISTRY

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1881467207
- **Authorized official:** EBONIE GONZALES (CREDENTIALING)
- **Authorized official phone:** (505) 850-3769

## Contact information

- **Practice address:** 1320 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8847
- **Practice address phone:** (801) 254-9700
- **Mailing address:** PO BOX 95868, SOUTH JORDAN, UT 84095-0868

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 07/01/2025