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

South Hills Pediatric Dental Specialists, LLC

Organization Pediatric Dentistry · NPI 1730714783

South Hills Pediatric Dental Specialists, LLC is a Pediatric Dentistry in Riverton, 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.

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Practice location Address checks out

4013 W 13400 S
Riverton, UT 84096-6410
Phone: (385) 210-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1730714783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Jacobsen — Owner · (801) 589-3150
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address4013 W 13400 S, Riverton, UT 84096-6410

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