Organization
WASATCH PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSHIA RICE (PROVIDER RELATIONS)
(801) 453-9625
Entity
Organization
Contact information
Practice address
9071 S 1300 W STE 205, WEST JORDAN, UT 84088-6725
(801) 453-9625
(801) 944-7347
Mailing address
9071 S 1300 W STE 205, WEST JORDAN, UT 84088-6725
(801) 453-9625
(801) 944-7347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
12/22/2025
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