Organization
PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. DALE HIBBERT (OWNER)
(801) 774-0770
Entity
Organization
Contact information
Practice address
2112 N HILL FIELD RD STE 1, LAYTON, UT 84041-4023
(801) 774-0770
Mailing address
2112 N HILL FIELD RD STE 1, LAYTON, UT 84041-4023
(801) 774-0770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
145535
UT
1223P0221X
Pediatric Dentistry
145535
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529130165036
—
UT
Enumeration date
05/07/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us