South Davis Pediatric Dentistry LLC
South Davis Pediatric Dentistry LLC is a Pediatric Dentistry in Bountiful, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
59 W Pages Ln Ste 110Bountiful, UT 84010-5988
Phone: (801) 294-8880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1841891462 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Odion — Owner · (801) 294-8880 |
| NPI enumerated | November 2, 2020 |
| Last updated in NPPES | November 2, 2020 |
| Certification date | November 2, 2020 |
| Mailing address | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 |
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Dr. Mark L Nelson, DDS
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Dr. Chris Reed Simonsen, DDS
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Dr. Clark Keith Taylor II, DDS
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Mrs. Colleen P Taylor, DMD
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