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

Redwood Periodontics, LLC

Organization Periodontics · NPI 1558487827

Redwood Periodontics, LLC is a Periodontics in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6287 S Redwood Rd Ste 102
Salt Lake City, UT 84123-6653
Phone: (801) 293-8833
Fax: (801) 293-8844
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 56827969922 (UT)

Record details

NPI number1558487827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Manwaring — Owner · (801) 293-8833
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 23, 2008
Mailing address6287 S Redwood Rd Ste 102, Salt Lake City, UT 84123-6653

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