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

Eastgate Pediatric Dentistry

Organization Dental Clinic/Center · NPI 1629499520

Eastgate Pediatric Dentistry is a Dental Clinic/Center in Slc, Utah. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1580 E 3900 S Ste #110
Slc, UT 84124-1581
Phone: (801) 272-8555
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 number1629499520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marci Nicol — Vp Of Operations · (801) 918-4135
NPI enumeratedDecember 18, 2013
Last updated in NPPESDecember 18, 2013
Mailing address1580 E 3900 S, Suite #110, Slc, UT 84124-1581

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