Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cache Valley Pediatric Dentistry

Organization Dental Clinic/Center · NPI 1962282459

Cache Valley Pediatric Dentistry is a Dental Clinic/Center in Logan, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1624 N 200 E Ste 100
Logan, UT 84341-3141
Phone: (435) 752-4330
Fax: (435) 752-6330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1962282459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tori Gibbs — Office Manager · (435) 752-4330
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address1624 N 200 E Ste 100, Logan, UT 84341-3141

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