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

Wasatch Pediatrics, Inc

Organization General Practice Dentistry · NPI 1124102595

Wasatch Pediatrics, Inc is a General Practice Dentistry in West Jordan, Utah. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9071 S 1300 W Ste 205
West Jordan, UT 84088-6725
Phone: (801) 453-9625
Fax: (801) 944-7347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1124102595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyshia Rice — Provider Relations · (801) 453-9625
NPI enumeratedOctober 24, 2006
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address9071 S 1300 W Ste 205, West Jordan, UT 84088-6725

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