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Organization

WASATCH PEDIATRICS - SOUTHPOINT DENTAL

Active
Parent organization
WASATCH PEDIATRICS, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WASATCH PEDIATRICS, INC
Authorized official
ALYSHIA RICE (PROVIDER RELATIONS)
(801) 453-9625
Entity
Organization

Contact information

Practice address
9071 S 1300 W STE 100, WEST JORDAN, UT 84088-6673
(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
1223P0221X
Pediatric Dentistry
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
11/03/2025
Last updated
12/22/2025
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