KIDS CREEK PED. DENTISTRY


Address: 2964 W 4700 S Ste 103, Taylorsville, UT 84129-2558
Phone: 8014178080

KIDS CREEK PED. DENTISTRY (NPI# 1821521485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821521485
Entity Type Organization
Organization Name KIDS CREEK PED. DENTISTRY
Practice Address 2964 W 4700 S Ste 103
Taylorsville
UT 84129-2558
Practice Telephone 8014178080
Mailing Telephone 8014178080
Enumeration Date 2017-04-10
Last Update Date 2017-04-10
Authorized Official Name SAMUEL B BAILEY (OWNER)
Authorized Official Telephone 8014178080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
7693653 UT Dental Providers

Office Location

Street Address 2964 W 4700 S STE 103
City TAYLORSVILLE
State UT
Zip Code 84129-2558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285990978 Samuel Blackham Bailey Dentist 2964 W 4700 S Ste 103, Taylorsville, UT 84129-2558 2012-04-06
1215322029 John Reimschiissel Dentist 2964 W 4700 S Ste 103, Taylorsville, UT 84129-2558 2015-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891140331 Caring for Kearns Social Worker 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 2016-05-03
1386014116 Rusty Scott Burns Physician Assistant 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 2015-10-06
1013398817 Clifford Simpson Counselor 4897 S Avant Cir, Taylorsville, UT 84129 2015-06-17
1912328576 Heather Jenkins Substance Abuse Rehabilitation Facility 6200 South 3809 West, Kearns, UT 84129 2013-12-30
1184981201 Intermountain Community Supports and Services, LLC In Home Supportive Care 5104 Heritage Cove, Taylorsville, UT 84129 2012-04-13
1093039521 Chad Alan Spain Family Medicine 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 2010-03-26
1396068342 Lindsay Helena Wilson Dermatology 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 2010-03-04
1962962407 Craig J Campbell Dpm PC Durable Medical Equipment & Medical Supplies 5255 S 4015 W, #140, Salt Lake City, UT 84129 2019-03-21
1851866735 Katie Nicholls Physician Assistant 4745 S 3200 W, Taylorsville, UT 84129 2018-10-08
1962829374 Spencer Tingey Family Medicine 3730 W 4700 S, Taylorsville, UT 84129 2014-03-24
Find all providers in zip 84129

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619354271 Redwood Pediatric Dentistry Dentist 6287 S Redwood Road #201, Taylorsville, UT 84123-6655 2015-05-04
1285990978 Samuel Blackham Bailey Dentist 2964 W 4700 S Ste 103, Taylorsville, UT 84129-2558 2012-04-06
1194331785 Utah Smile Clinic Dentist 6321 S Redwood Rd Ste 206, Taylorsville, UT 84123-6972 2020-09-18
1770191421 Amy Ann Kinlaw Dmd Pllc Dentist 167 1st Ave Sw, Taylorsville, NC 28681-2639 2020-07-20
1215322029 John Reimschiissel Dentist 2964 W 4700 S Ste 103, Taylorsville, UT 84129-2558 2015-03-30
1588720304 Jason J Horgesheimer Dentist 6287 S Redwood Rd, Suite 201, Taylorsville, UT 84123-6634 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841891462 South Davis Pediatric Dentistry LLC Dentist 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 2020-11-02
1376176198 Happy Tooth Pediatric Dentistry, LLC Dentist 2453 E 3300 S, Millcreek, UT 84109-2725 2020-02-20
1750932273 Michael R. Brown Dds Ms Dentist 1240 E 100 S Ste 120, St George, UT 84790-3079 2019-09-25
1609438357 Children's Landing Pediatric Dentistry, PC Dentist 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 2019-07-02
1841766821 Dry Creek Pediatric Dentistry Dentist 3300 N Running Creek Way F101, Lehi, UT 84043 2018-10-17
1639654684 Clubhouse Pediatric Dentistry of West Jordan Dentist 1108 E South Union Ave, Midvale, UT 84047-2904 2018-09-26
1639667801 St. George Kids Dental At Snow Canyon Dentist 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 2018-04-24
1376044313 Slpd Cottonwood LLC Dentist 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 2018-02-26
1013420553 Kevin Brown Dmd, LLC Dentist 1030 S 1100 W, Suite B, Lehi, UT 84043 2017-11-07
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
Find all providers with the same taxonomy

Competitor

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City TAYLORSVILLE
Zip Code 84129

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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