# KIDS TOWN PEDIATRIC DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Town Pediatric Dentistry Roy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992253991
- **Authorized official:** AIMEE ORTON (FINANCIAL MANAGER)
- **Authorized official phone:** (801) 217-3359

## Contact information

- **Practice address:** 3540 W 6000 S, SUITE 200, ROY, UT 84067-9071
- **Practice address phone:** (801) 217-3359
- **Practice address fax:** (801) 217-3950
- **Mailing address:** 3540 W 6000 S, SUITE 200, ROY, UT 84067-9071
- **Mailing address phone:** (801) 217-3359
- **Mailing address fax:** (801) 217-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 6348475 | UT | Yes |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 09/20/2016