Organization
SOUTHRIDGE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C ROTH DDS (OWNER)
(801) 446-1515
Entity
Organization
Contact information
Practice address
2651 W. 10400 S. #103, SOUTH JORDAN, UT 84095
(801) 445-1515
(801) 446-5290
Mailing address
2651 W. 10400 S. #103, SOUTH JORDAN, UT 84095
(801) 445-1515
(801) 446-5290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
343291
UT
122300000X
Dentist
5667938
UT
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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